State,County,Organization Name,Plan Name,Type of Medicare Health Plan,Special Needs Plan Type,Integration Status**,AIP Status***,Drug Benefit Type,Drug Benefit Type Detail,Monthly Consolidated Premium* (Includes Part C + D),Annual Drug Deductible,"
Additional Coverage Offered in the Gap",Contract ID,Plan ID,Segment ID,2024 Overall Star Rating,Cardiovascular Disorders,Chronic Heart Failure,Dementia,Diabetes Mellitus,End-stage Renal Disease Requiring Dialysis (any mode of dialysis),HIV/AIDS,Chronic Lung Disorders,Chronic and Disabling Mental Health Conditions,Cardiovascular Disorders and Chronic Heart Failure,Cardiovascular Disorders and Diabetes,Chronic Heart Failure and Diabetes,"Cardiovascular Disorders, Chronic Heart Failure and Diabetes"
Alabama,Autauga,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Autauga,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Autauga,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Autauga,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Autauga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Autauga,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Autauga,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Autauga,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Autauga,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Autauga,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Autauga,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Autauga,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Autauga,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Autauga,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Autauga,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Autauga,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Baldwin,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Baldwin,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Baldwin,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Baldwin,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Alabama,Baldwin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Baldwin,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Baldwin,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Baldwin,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Baldwin,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H3239,018,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H3239,019,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Baldwin,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Baldwin,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Baldwin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Baldwin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Baldwin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Baldwin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Baldwin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Barbour,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Barbour,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Barbour,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Barbour,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Barbour,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Barbour,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Barbour,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Barbour,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Barbour,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Barbour,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Barbour,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Barbour,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Barbour,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Bibb,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Bibb,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Bibb,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Bibb,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Bibb,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Bibb,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Bibb,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Bibb,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Bibb,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Bibb,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Bibb,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Bibb,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Bibb,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Bibb,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Blount,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Blount,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Blount,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Blount,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Blount,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Blount,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Blount,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Blount,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Blount,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Blount,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Blount,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Blount,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Blount,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Blount,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Blount,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Blount,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Blount,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Blount,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Blount,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Blount,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Blount,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Blount,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Blount,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Bullock,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Bullock,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Bullock,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Bullock,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Bullock,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Bullock,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Bullock,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Bullock,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Bullock,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Bullock,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Bullock,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Bullock,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Bullock,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Bullock,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Bullock,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Bullock,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Butler,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Butler,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Butler,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Butler,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Butler,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Butler,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Butler,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Butler,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Butler,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Butler,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Butler,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Butler,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Butler,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Calhoun,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Calhoun,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Calhoun,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Calhoun,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Calhoun,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Calhoun,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Calhoun,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Calhoun,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Calhoun,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Calhoun,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Calhoun,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Calhoun,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Chambers,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Chambers,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Chambers,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Chambers,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Chambers,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Chambers,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Chambers,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Chambers,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Chambers,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Chambers,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Chambers,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Chambers,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Chambers,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Chambers,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Cherokee,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Cherokee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Cherokee,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Cherokee,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Cherokee,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Cherokee,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Cherokee,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Cherokee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Cherokee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Cherokee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Cherokee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Chilton,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Chilton,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Chilton,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Chilton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Chilton,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Chilton,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Chilton,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Chilton,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Chilton,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Chilton,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Chilton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Chilton,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Chilton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Chilton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Chilton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Choctaw,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Choctaw,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Choctaw,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Choctaw,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Choctaw,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Choctaw,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Choctaw,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Choctaw,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Choctaw,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Choctaw,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Choctaw,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Choctaw,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Choctaw,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Choctaw,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Choctaw,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Choctaw,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Choctaw,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Clarke,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Clarke,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Clarke,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Clarke,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Clarke,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Clarke,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Clarke,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Clarke,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Clarke,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Clarke,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Clarke,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Clarke,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Clarke,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Clay,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Clay,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Clay,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Clay,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Clay,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Clay,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Clay,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Clay,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Clay,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Clay,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Clay,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Clay,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Clay,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Clay,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Clay,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Clay,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Clay,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Clay,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Clay,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Cleburne,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Cleburne,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Cleburne,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Cleburne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Cleburne,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Cleburne,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Cleburne,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Cleburne,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Cleburne,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Cleburne,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Cleburne,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Cleburne,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Cleburne,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Cleburne,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Cleburne,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Cleburne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Cleburne,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Coffee,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Coffee,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Coffee,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Coffee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Coffee,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Coffee,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Coffee,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Coffee,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Coffee,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Coffee,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Coffee,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Coffee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Coffee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Coffee,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Coffee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Coffee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Coffee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Colbert,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Colbert,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Colbert,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Colbert,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Colbert,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Colbert,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Colbert,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Colbert,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Colbert,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Colbert,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Colbert,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Colbert,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Colbert,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Colbert,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Colbert,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Colbert,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Colbert,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Colbert,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Colbert,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Colbert,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Colbert,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Colbert,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Conecuh,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Conecuh,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Conecuh,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Conecuh,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Conecuh,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Conecuh,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Conecuh,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Conecuh,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Conecuh,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Conecuh,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Conecuh,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Conecuh,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Conecuh,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Coosa,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Coosa,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Coosa,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Coosa,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Coosa,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Coosa,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Coosa,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Coosa,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Coosa,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Coosa,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Coosa,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Coosa,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Coosa,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Coosa,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Coosa,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Coosa,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Coosa,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Coosa,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Coosa,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Coosa,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Coosa,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Covington,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Covington,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Covington,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Covington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Covington,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Covington,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Covington,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Covington,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Covington,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Covington,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Covington,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Covington,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Covington,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Covington,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Covington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Covington,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Covington,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Crenshaw,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Crenshaw,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Crenshaw,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Crenshaw,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Crenshaw,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Crenshaw,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Crenshaw,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Crenshaw,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Crenshaw,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Crenshaw,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Crenshaw,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Crenshaw,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Crenshaw,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Crenshaw,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Cullman,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Cullman,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Cullman,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Cullman,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Cullman,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Cullman,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Cullman,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Cullman,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Cullman,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Cullman,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Cullman,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Cullman,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Cullman,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Cullman,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Cullman,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Dale,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Dale,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Dale,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Dale,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Dale,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Dale,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Dale,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Dale,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Dale,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Dale,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Dale,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Dale,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Dale,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Dale,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Dale,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Dale,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Dale,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Dale,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Dallas,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Dallas,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Dallas,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Dallas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Dallas,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Dallas,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Dallas,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Dallas,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Dallas,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Dallas,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Dallas,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Dallas,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Dallas,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Dallas,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Dallas,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Dallas,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Dallas,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Dallas,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Dallas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Dallas,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Dallas,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,DeKalb,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,DeKalb,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,DeKalb,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,DeKalb,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,DeKalb,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,DeKalb,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,DeKalb,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,DeKalb,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,DeKalb,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,DeKalb,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,DeKalb,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Elmore,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Elmore,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Elmore,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Elmore,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Elmore,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Elmore,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Elmore,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Elmore,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Elmore,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Elmore,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Elmore,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Elmore,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Elmore,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Elmore,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Elmore,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Elmore,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Elmore,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Elmore,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Elmore,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Escambia,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Escambia,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Escambia,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Escambia,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Escambia,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Escambia,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Escambia,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Escambia,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Escambia,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Escambia,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Escambia,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Escambia,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Escambia,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Escambia,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Escambia,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Escambia,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Escambia,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Etowah,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Etowah,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Etowah,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Etowah,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Etowah,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Etowah,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Etowah,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Etowah,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Etowah,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Etowah,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Etowah,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Etowah,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Etowah,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Etowah,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Etowah,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Etowah,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Etowah,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Etowah,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Etowah,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Etowah,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Etowah,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Etowah,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Etowah,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Fayette,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Fayette,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Fayette,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Fayette,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Fayette,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Fayette,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Fayette,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Fayette,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Fayette,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Fayette,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Fayette,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Fayette,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Fayette,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Fayette,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Franklin,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Franklin,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Franklin,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Franklin,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Franklin,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Franklin,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Franklin,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Franklin,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Franklin,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Franklin,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Franklin,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Franklin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Franklin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Franklin,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Geneva,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Geneva,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Geneva,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Geneva,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Geneva,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Geneva,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Geneva,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Geneva,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Geneva,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Geneva,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Geneva,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Geneva,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Geneva,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Geneva,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Geneva,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Geneva,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Geneva,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Geneva,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Greene,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Greene,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Greene,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Greene,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Greene,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Greene,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Greene,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Greene,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Greene,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Greene,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Greene,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Greene,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Greene,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Hale,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Hale,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Hale,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Hale,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Hale,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Hale,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Hale,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Hale,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Hale,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Hale,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Hale,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Hale,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Hale,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Henry,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Henry,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Henry,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Henry,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Henry,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Henry,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Henry,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Henry,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Henry,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Henry,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Henry,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Henry,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Henry,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Henry,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Houston,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Houston,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Houston,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Houston,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Houston,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Houston,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Houston,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Houston,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Houston,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Houston,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Houston,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Houston,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Houston,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Houston,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Houston,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Houston,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Houston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Houston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Jackson,VIVA Medicare,VIVA Medicare Extra Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$530.00 ,No,H0154,019,0,5.0,,,,,,,,,,,,
Alabama,Jackson,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Jackson,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Jackson,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Jackson,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Jackson,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Jackson,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Jackson,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Jackson,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Jackson,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Jackson,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Jackson,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Jackson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Jackson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Jackson,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Jackson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Jackson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Jackson,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Jefferson,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Jefferson,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Jefferson,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Alabama,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Jefferson,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Jefferson,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Jefferson,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Jefferson,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H3239,018,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H3239,019,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Jefferson,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Jefferson,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Jefferson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Jefferson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Jefferson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Jefferson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Jefferson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Lamar,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Lamar,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Lamar,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Lamar,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Lamar,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Lamar,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Lamar,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Lamar,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Lamar,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Lamar,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Lamar,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Lamar,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Lamar,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Lauderdale,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Lauderdale,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Lauderdale,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Lauderdale,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Lauderdale,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Lauderdale,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Lauderdale,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Lauderdale,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Lauderdale,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Lauderdale,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Lauderdale,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Lauderdale,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Lauderdale,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Lawrence,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Lawrence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Lawrence,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Lawrence,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Lawrence,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Lawrence,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Lawrence,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Lawrence,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Lawrence,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Lawrence,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Lawrence,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Lawrence,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Lawrence,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Lee,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Lee,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Lee,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Lee,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Lee,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Lee,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Lee,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Lee,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Lee,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Lee,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Lee,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Lee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Lee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Lee,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Limestone,VIVA Medicare,VIVA Medicare Extra Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$530.00 ,No,H0154,019,0,5.0,,,,,,,,,,,,
Alabama,Limestone,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Limestone,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Limestone,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Limestone,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Limestone,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Limestone,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Limestone,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Limestone,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Limestone,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Limestone,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Limestone,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Limestone,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Limestone,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Limestone,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Limestone,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Limestone,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Limestone,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Limestone,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Limestone,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Limestone,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Limestone,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Lowndes,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Lowndes,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Lowndes,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Lowndes,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Lowndes,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Lowndes,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Lowndes,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Lowndes,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Lowndes,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Lowndes,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Lowndes,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Macon,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Macon,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Macon,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Macon,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Macon,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Macon,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Macon,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Macon,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Macon,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Macon,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Macon,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Macon,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Macon,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Macon,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Macon,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Macon,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Madison,VIVA Medicare,VIVA Medicare Extra Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$530.00 ,No,H0154,019,0,5.0,,,,,,,,,,,,
Alabama,Madison,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Madison,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Madison,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Madison,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Alabama,Madison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Madison,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Madison,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Madison,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Madison,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Madison,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Madison,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Madison,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Madison,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Madison,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Madison,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Madison,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Madison,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Madison,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Madison,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Madison,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Madison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Madison,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Madison,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Marengo,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Marengo,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Marengo,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Marengo,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Marengo,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Marengo,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Marengo,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Marengo,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Marengo,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Marengo,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Marengo,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Marengo,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Marengo,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Marion,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Marion,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Marion,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Marion,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Marion,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Marion,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Marion,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Marion,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Marion,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Marion,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Marion,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Marion,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Marion,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Marshall,VIVA Medicare,VIVA Medicare Extra Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$530.00 ,No,H0154,019,0,5.0,,,,,,,,,,,,
Alabama,Marshall,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Marshall,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Marshall,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Marshall,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Marshall,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Marshall,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Marshall,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Marshall,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Marshall,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Marshall,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Marshall,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Marshall,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Marshall,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Marshall,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Marshall,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Marshall,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Marshall,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Marshall,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Mobile,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Mobile,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Mobile,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Mobile,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Mobile,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Alabama,Mobile,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Mobile,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Mobile,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Mobile,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Mobile,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H3239,018,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H3239,019,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Mobile,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Mobile,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Mobile,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Mobile,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Mobile,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Mobile,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Mobile,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Monroe,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Monroe,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Monroe,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Monroe,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Monroe,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Monroe,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Monroe,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Monroe,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Monroe,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Monroe,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Monroe,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Monroe,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Monroe,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Montgomery,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Montgomery,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Montgomery,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Alabama,Montgomery,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Montgomery,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Montgomery,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Montgomery,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H3239,018,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H3239,019,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Montgomery,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Montgomery,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Montgomery,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Montgomery,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Montgomery,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Morgan,VIVA Medicare,VIVA Medicare Extra Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$530.00 ,No,H0154,019,0,5.0,,,,,,,,,,,,
Alabama,Morgan,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Morgan,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Morgan,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Morgan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Morgan,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Morgan,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Morgan,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Morgan,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Morgan,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Morgan,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Morgan,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Morgan,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Morgan,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Morgan,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Morgan,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Morgan,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Morgan,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Morgan,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Morgan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Morgan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Morgan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Perry,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Perry,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Perry,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Perry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Perry,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Perry,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Perry,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Perry,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Perry,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Perry,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Perry,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Perry,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Perry,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Perry,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Perry,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Perry,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Perry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Perry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Perry,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Pickens,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Pickens,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Pickens,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Pickens,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Pickens,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Pickens,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Pickens,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Pickens,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Pickens,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Pickens,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Pickens,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Pickens,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Pickens,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Pike,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Pike,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Pike,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Pike,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Pike,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Pike,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Pike,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Pike,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Pike,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Pike,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Pike,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Pike,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Pike,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Pike,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Randolph,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Randolph,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Randolph,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Randolph,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Randolph,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Randolph,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Randolph,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Randolph,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Randolph,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Randolph,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Randolph,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Randolph,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Randolph,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Russell,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Russell,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Russell,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,Russell,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Russell,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Russell,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Russell,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Russell,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Russell,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Russell,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Russell,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Russell,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Russell,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Russell,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Shelby,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Shelby,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Shelby,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Shelby,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Alabama,Shelby,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Shelby,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Shelby,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Shelby,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Shelby,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Shelby,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Shelby,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Shelby,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Shelby,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Shelby,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Shelby,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Shelby,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,St. Clair,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,St. Clair,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,St. Clair,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Alabama,St. Clair,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,St. Clair,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,St. Clair,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,St. Clair,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,St. Clair,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,St. Clair,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,St. Clair,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,St. Clair,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,St. Clair,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,St. Clair,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,St. Clair,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,St. Clair,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Sumter,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Sumter,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Sumter,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Sumter,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Sumter,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Sumter,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Sumter,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Sumter,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Sumter,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Sumter,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Sumter,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Sumter,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Sumter,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Sumter,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Sumter,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Sumter,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Sumter,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Talladega,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Talladega,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Talladega,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Talladega,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Talladega,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Talladega,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Talladega,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Talladega,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Talladega,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Talladega,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Talladega,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Talladega,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Talladega,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Talladega,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Talladega,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Tallapoosa,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Tallapoosa,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Tallapoosa,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Tallapoosa,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Tallapoosa,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Tallapoosa,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Tallapoosa,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Tallapoosa,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Tallapoosa,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Tallapoosa,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Tallapoosa,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Tallapoosa,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Tallapoosa,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Tallapoosa,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Tuscaloosa,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Tuscaloosa,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Tuscaloosa,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Tuscaloosa,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Tuscaloosa,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Tuscaloosa,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Tuscaloosa,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Tuscaloosa,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Walker,VIVA Medicare,VIVA Medicare Extra Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.40 ,$529.00 ,No,H0154,012,0,5.0,,,,,,,,,,,,
Alabama,Walker,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Walker,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Walker,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Walker,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Walker,UnitedHealthcare,UHC Dual Complete AL-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H2802,044,0,4.0,,,,,,,,,,,,
Alabama,Walker,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.30 ,$545.00 ,No,H3080,003,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Walker,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H3080,004,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Walker,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Walker,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Walker,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Walker,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Walker,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Walker,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,055,0,4.0,,,,,,,,,,,,
Alabama,Walker,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H4513,063,0,4.0,,,,,,,,,,,,
Alabama,Walker,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Walker,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Walker,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Walker,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Walker,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Walker,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Walker,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Washington,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Washington,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Washington,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Washington,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Washington,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Washington,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Washington,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Washington,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Washington,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Washington,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Washington,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Washington,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Washington,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Washington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Washington,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Washington,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Alabama,Wilcox,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Wilcox,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Wilcox,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Wilcox,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Wilcox,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.30 ,$545.00 ,No,H3239,003,0,4.0,,,,,,,,,,,,
Alabama,Wilcox,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Wilcox,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Wilcox,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Wilcox,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Wilcox,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Wilcox,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Wilcox,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Wilcox,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Winston,UnitedHealthcare,UHC Dual Complete AL-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.20 ,$545.00 ,No,H0432,009,0,4.0,,,,,,,,,,,,
Alabama,Winston,UnitedHealthcare,UHC Dual Complete AL-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0432,013,0,4.0,,,,,,,,,,,,
Alabama,Winston,UnitedHealthcare,UHC Complete Care AL-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0432,017,0,4.0,,,,,,,,,,,,*
Alabama,Winston,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H1848,003,0,2.5,,,,,,,,,,,,
Alabama,Winston,UnitedHealthcare,UHC Dual Complete AL-D002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H1889,009,0,4.5,,,,,,,,,,,,
Alabama,Winston,Devoted Health,Devoted DUAL PLUS Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H3080,006,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Winston,Devoted Health,Devoted DUAL Alabama (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.10 ,$545.00 ,No,H3080,007,0,Plan too new to be measured,,,,,,,,,,,,
Alabama,Winston,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H3239,002,0,4.0,,,,,,,,,,,,
Alabama,Winston,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.30 ,$545.00 ,No,H3239,010,0,4.0,,,,,,,,,,,,
Alabama,Winston,Simpra Advantage,Simpra Advantage (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H4091,001,0,Not enough data available,,,,,,,,,,,,
Alabama,Winston,Simpra Advantage,Simpra Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4091,002,0,Not enough data available,,,,,,,,,,,,
Alabama,Winston,Simpra Advantage,Simpra Advantage Premier (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$98.00 ,$150.00 ,No,H4091,003,0,Not enough data available,,,,,,,,,,,,
Alabama,Winston,Humana,HumanaChoice SNP-DE H5216-370 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5216,370,0,4.5,,,,,,,,,,,,
Alabama,Winston,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H5521,462,0,4.0,,,,,,,,,,,,
Alabama,Winston,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H5521,463,0,4.0,,,,,,,,,,,,
Alabama,Winston,Humana,Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5619,093,0,4.0,,,,,,,,,,,,
Alabama,Winston,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H6975,002,0,2.5,,,,,,,,,,,,
Alabama,Winston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H6975,004,0,2.5,,,,,,,,,,,,
Alabama,Winston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.70 ,$545.00 ,No,H6975,007,0,2.5,,,,,,,,,,,,
Arizona,Apache,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Apache,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Apache,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Apache,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Apache,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.30 ,$545.00 ,No,H5590,009,0,3.0,,,,,,,,,,,,
Arizona,Cochise,UnitedHealthcare,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$19.10 ,$545.00 ,No,H0271,025,0,4.0,,,,,,,,,,,,*
Arizona,Cochise,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Cochise,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,057,0,3.0,,,,,,,,,,,,*
Arizona,Cochise,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Cochise,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Cochise,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Cochise,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Coconino,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Coconino,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Coconino,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Coconino,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Coconino,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.30 ,$545.00 ,No,H5590,009,0,3.0,,,,,,,,,,,,
Arizona,Gila,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Gila,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Gila,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,001,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Gila,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H4869,002,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Gila,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,003,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Gila,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$37.80 ,$545.00 ,No,H4869,004,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Gila,Gold Kidney Health Plan,Gold Circle (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$0.00 ,$545.00 ,No,H4869,010,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Gila,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Gila,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Gila,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,001,0,3.5,,,,,,,,,,,,
Arizona,Gila,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,004,0,3.5,,,,,,,,,,,,
Arizona,Gila,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Gila,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Gila,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Gila,Molina Healthcare of Arizona,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$12.50 ,$545.00 ,No,H8845,001,0,Not enough data available,,,,,,,,,,,,
Arizona,Graham,UnitedHealthcare,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$19.10 ,$545.00 ,No,H0271,025,0,4.0,,,,,,,,,,,,*
Arizona,Graham,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Graham,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Graham,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Graham,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Graham,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Greenlee,UnitedHealthcare,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$19.10 ,$545.00 ,No,H0271,025,0,4.0,,,,,,,,,,,,*
Arizona,Greenlee,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Greenlee,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Greenlee,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Greenlee,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Greenlee,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,La Paz,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,La Paz,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,La Paz,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,La Paz,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,La Paz,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Maricopa,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,038,0,3.0,,,,,,,,,,,,*
Arizona,Maricopa,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0354,027,0,4.0,,,,*,,,,,,,,
Arizona,Maricopa,UnitedHealthcare,UHC Complete Care AZ-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,042,0,4.5,,,,,,,,,,,,*
Arizona,Maricopa,UnitedHealthcare,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.90 ,$545.00 ,No,H0710,005,0,5.0,,,,,,,,,,,,
Arizona,Maricopa,Wellpoint,Wellpoint I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1423,008,0,3.0,,,,,,,,,,,,
Arizona,Maricopa,SCAN Desert Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,002,0,2.5,,,,*,,,,,,,,
Arizona,Maricopa,SCAN Desert Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,003,0,2.5,,,,,,,,,*,,,
Arizona,Maricopa,SCAN Desert Health Plan,SCAN Embrace (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,005,0,2.5,,,,,,,,,,,,
Arizona,Maricopa,SCAN Desert Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$34.90 ,$545.00 ,No,H1822,006,0,2.5,,,,,,,,,,,,*
Arizona,Maricopa,Wellpoint,Wellpoint I Carelon Home Care 2 (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,003,0,3.0,,,,,,,,,,,,
Arizona,Maricopa,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3443,003,0,3.5,,,,,,,,,,,,*
Arizona,Maricopa,Alignment Health Plan,Alignment Health Heart & Diabetes Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$6.60 ,$545.00 ,No,H3443,006,0,3.5,,,,,,,,,,,,*
Arizona,Maricopa,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,001,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Maricopa,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H4869,002,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Maricopa,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,003,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Maricopa,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$37.80 ,$545.00 ,No,H4869,004,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Maricopa,Gold Kidney Health Plan,Gold Circle (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$0.00 ,$545.00 ,No,H4869,010,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Maricopa,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,001,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,004,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Maricopa,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Maricopa,Devoted Health,Devoted BE WELL Arizona (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8173,011,0,4.0,,,,,,,,,,,,*
Arizona,Maricopa,Devoted Health,Devoted BE WELL PLUS Arizona (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$20.00 ,$545.00 ,No,H8173,014,0,4.0,,,,,,,,,,,,*
Arizona,Maricopa,Molina Healthcare of Arizona,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$12.50 ,$545.00 ,No,H8845,001,0,Not enough data available,,,,,,,,,,,,
Arizona,Mohave,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Mohave,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Mohave,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,057,0,3.0,,,,,,,,,,,,*
Arizona,Mohave,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Mohave,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Mohave,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.30 ,$545.00 ,No,H5590,009,0,3.0,,,,,,,,,,,,
Arizona,Navajo,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Navajo,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Navajo,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Navajo,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Navajo,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.30 ,$545.00 ,No,H5590,009,0,3.0,,,,,,,,,,,,
Arizona,Pima,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Pima,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,038,0,3.0,,,,,,,,,,,,*
Arizona,Pima,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0354,027,0,4.0,,,,*,,,,,,,,
Arizona,Pima,UnitedHealthcare,UHC Complete Care AZ-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,043,0,4.5,,,,,,,,,,,,*
Arizona,Pima,UnitedHealthcare,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.90 ,$545.00 ,No,H0710,005,0,5.0,,,,,,,,,,,,
Arizona,Pima,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1423,001,0,3.0,,,,,,,*,,,,,
Arizona,Pima,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1423,002,0,3.0,,,,,,,,,,,,*
Arizona,Pima,Wellpoint,Wellpoint I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1423,007,0,3.0,,,,,,,,,,,,
Arizona,Pima,SCAN Desert Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,002,0,2.5,,,,*,,,,,,,,
Arizona,Pima,SCAN Desert Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,003,0,2.5,,,,,,,,,*,,,
Arizona,Pima,SCAN Desert Health Plan,SCAN Embrace (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,005,0,2.5,,,,,,,,,,,,
Arizona,Pima,SCAN Desert Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$34.90 ,$545.00 ,No,H1822,006,0,2.5,,,,,,,,,,,,*
Arizona,Pima,Wellpoint,Wellpoint I Carelon Home Care 2 (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,003,0,3.0,,,,,,,,,,,,
Arizona,Pima,Wellpoint,Wellpoint Lung Care 2 (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,005,0,3.0,,,,,,,*,,,,,
Arizona,Pima,Wellpoint,Wellpoint Chronic Care 2 (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,006,0,3.0,,,,,,,,,,,,*
Arizona,Pima,Wellpoint,Wellpoint I Carelon Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,040,0,3.0,,,,,*,,,,,,,
Arizona,Pima,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3443,003,0,3.5,,,,,,,,,,,,*
Arizona,Pima,Alignment Health Plan,Alignment Health Heart & Diabetes Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$6.60 ,$545.00 ,No,H3443,006,0,3.5,,,,,,,,,,,,*
Arizona,Pima,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,001,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Pima,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H4869,002,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Pima,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,003,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Pima,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$37.80 ,$545.00 ,No,H4869,004,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Pima,Gold Kidney Health Plan,Gold Circle (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$0.00 ,$545.00 ,No,H4869,010,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Pima,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Pima,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Pima,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,004,0,3.5,,,,,,,,,,,,
Arizona,Pima,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Pima,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Pinal,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Pinal,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Pinal,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,038,0,3.0,,,,,,,,,,,,*
Arizona,Pinal,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0354,027,0,4.0,,,,*,,,,,,,,
Arizona,Pinal,UnitedHealthcare,UHC Complete Care AZ-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,042,0,4.5,,,,,,,,,,,,*
Arizona,Pinal,UnitedHealthcare,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.90 ,$545.00 ,No,H0710,005,0,5.0,,,,,,,,,,,,
Arizona,Pinal,SCAN Desert Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,002,0,2.5,,,,*,,,,,,,,
Arizona,Pinal,SCAN Desert Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1822,003,0,2.5,,,,,,,,,*,,,
Arizona,Pinal,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,001,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Pinal,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H4869,002,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Pinal,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4869,003,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Pinal,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$37.80 ,$545.00 ,No,H4869,004,0,Plan too new to be measured,,,,,*,,,,,,,
Arizona,Pinal,Gold Kidney Health Plan,Gold Circle (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$0.00 ,$545.00 ,No,H4869,010,0,Plan too new to be measured,,,,,,,,,,,,*
Arizona,Pinal,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Pinal,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Pinal,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,001,0,3.5,,,,,,,,,,,,
Arizona,Pinal,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,004,0,3.5,,,,,,,,,,,,
Arizona,Pinal,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Pinal,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Pinal,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Pinal,Devoted Health,Devoted BE WELL Arizona (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8173,011,0,4.0,,,,,,,,,,,,*
Arizona,Pinal,Devoted Health,Devoted BE WELL PLUS Arizona (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$20.00 ,$545.00 ,No,H8173,014,0,4.0,,,,,,,,,,,,*
Arizona,Pinal,Molina Healthcare of Arizona,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$12.50 ,$545.00 ,No,H8845,001,0,Not enough data available,,,,,,,,,,,,
Arizona,Santa Cruz,UnitedHealthcare,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$19.10 ,$545.00 ,No,H0271,025,0,4.0,,,,,,,,,,,,*
Arizona,Santa Cruz,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Santa Cruz,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,057,0,3.0,,,,,,,,,,,,*
Arizona,Santa Cruz,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3443,003,0,3.5,,,,,,,,,,,,*
Arizona,Santa Cruz,Alignment Health Plan,Alignment Health Heart & Diabetes Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$6.60 ,$545.00 ,No,H3443,006,0,3.5,,,,,,,,,,,,*
Arizona,Santa Cruz,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Santa Cruz,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Santa Cruz,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Santa Cruz,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arizona,Yavapai,UnitedHealthcare,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$19.10 ,$545.00 ,No,H0271,025,0,4.0,,,,,,,,,,,,*
Arizona,Yavapai,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Yavapai,UnitedHealthcare,UHC Dual Complete AZ-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,004,0,3.5,,,,,,,,,,,,
Arizona,Yavapai,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,057,0,3.0,,,,,,,,,,,,*
Arizona,Yavapai,UnitedHealthcare,UHC Nursing Home Plan AZ-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.90 ,$545.00 ,No,H0710,005,0,5.0,,,,,,,,,,,,
Arizona,Yavapai,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Yavapai,BCBSAZ Health Choice,BCBSAZ Health Choice Pathway (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5587,002,0,3.5,,,,,,,,,,,,
Arizona,Yavapai,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.30 ,$545.00 ,No,H5590,009,0,3.0,,,,,,,,,,,,
Arizona,Yuma,UnitedHealthcare,UHC Complete Care AZ-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$19.10 ,$545.00 ,No,H0271,025,0,4.0,,,,,,,,,,,,*
Arizona,Yuma,UnitedHealthcare,UHC Dual Complete AZ-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H0321,002,0,3.5,,,,,,,,,,,,
Arizona,Yuma,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0351,057,0,3.0,,,,,,,,,,,,*
Arizona,Yuma,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,007,0,3.5,,,,,,,,,,,,
Arizona,Yuma,Banner Medicare Advantage,Banner Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H4931,015,0,3.5,,,,,,,,,,,,
Arizona,Yuma,Mercy Care Advantage,Mercy Care Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.20 ,$545.00 ,No,H5580,005,0,3.5,,,,,,,,,,,,
Arizona,Yuma,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.50 ,$545.00 ,No,H5590,008,0,3.0,,,,,,,,,,,,
Arkansas,Arkansas,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Arkansas,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Arkansas,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Arkansas,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Arkansas,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Arkansas,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Arkansas,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Arkansas,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Arkansas,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Arkansas,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Arkansas,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Arkansas,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Arkansas,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Arkansas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Arkansas,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Arkansas,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Arkansas,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Arkansas,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Ashley,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Ashley,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Ashley,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Ashley,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Ashley,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Ashley,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Ashley,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Ashley,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Ashley,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Ashley,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Ashley,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Ashley,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Ashley,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Ashley,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Ashley,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Ashley,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Baxter,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Baxter,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Baxter,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Baxter,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Baxter,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Baxter,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Baxter,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Baxter,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Baxter,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Baxter,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Baxter,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Baxter,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Baxter,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Benton,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Benton,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Benton,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Benton,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Benton,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Benton,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Benton,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Benton,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Benton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Benton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Benton,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Benton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Benton,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Benton,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Benton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Benton,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Benton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Benton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Benton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Boone,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Boone,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Boone,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Boone,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Boone,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Boone,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Boone,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Boone,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Boone,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Boone,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Boone,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Boone,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Boone,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Boone,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Boone,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Bradley,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Bradley,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Bradley,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Bradley,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Bradley,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Bradley,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Bradley,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Bradley,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Bradley,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Bradley,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Bradley,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Bradley,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Bradley,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Bradley,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Bradley,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Bradley,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Calhoun,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Calhoun,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Calhoun,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Calhoun,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Calhoun,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Calhoun,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Calhoun,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Calhoun,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Calhoun,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Calhoun,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Calhoun,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Calhoun,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Calhoun,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Calhoun,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Calhoun,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Calhoun,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Calhoun,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Calhoun,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Carroll,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Carroll,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Carroll,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Carroll,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Carroll,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Carroll,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Carroll,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Carroll,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Carroll,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Carroll,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Carroll,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Carroll,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Carroll,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Carroll,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Chicot,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Chicot,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Chicot,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Chicot,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Chicot,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Chicot,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Chicot,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Chicot,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Chicot,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Chicot,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Chicot,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Chicot,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Chicot,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Chicot,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Chicot,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Chicot,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Clark,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Clark,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Clark,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Clark,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Clark,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Clark,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Clark,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Clark,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Clark,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Clark,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Clark,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Clark,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Clark,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Clark,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Clark,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Clark,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Clark,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Clark,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Clark,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Clark,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Clark,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Clark,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Clay,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Clay,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Clay,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Clay,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Clay,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Clay,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Clay,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Clay,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Clay,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Clay,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Clay,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Clay,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Clay,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Clay,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Clay,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Cleburne,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Cleburne,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Cleburne,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cleburne,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cleburne,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Cleburne,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cleburne,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Cleburne,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Cleburne,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Cleburne,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Cleburne,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Cleburne,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Cleburne,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Cleburne,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Cleveland,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Cleveland,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Cleveland,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Cleveland,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Cleveland,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cleveland,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cleveland,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Cleveland,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cleveland,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Cleveland,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Cleveland,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Cleveland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Cleveland,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Cleveland,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Cleveland,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Cleveland,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Columbia,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Columbia,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Columbia,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Columbia,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Columbia,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Columbia,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Columbia,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Columbia,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Columbia,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Columbia,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Columbia,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Columbia,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Columbia,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Columbia,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Conway,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H0270,002,0,3.0,,,,,,,,,,,,
Arkansas,Conway,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Conway,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Conway,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Conway,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Conway,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Conway,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Conway,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Conway,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Conway,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Conway,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Conway,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Conway,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Conway,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Conway,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Conway,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Conway,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Conway,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Conway,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Conway,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Conway,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Craighead,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H0270,002,0,3.0,,,,,,,,,,,,
Arkansas,Craighead,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Craighead,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Craighead,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Craighead,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Craighead,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Craighead,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Craighead,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Craighead,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Craighead,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Craighead,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Craighead,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Craighead,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Craighead,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Craighead,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Craighead,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Craighead,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Craighead,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Craighead,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Crawford,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Crawford,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Crawford,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Crawford,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Crawford,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Crawford,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Crawford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Crawford,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Crawford,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Crawford,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Crawford,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Crittenden,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Crittenden,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Crittenden,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Crittenden,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Crittenden,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Crittenden,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Crittenden,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Crittenden,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Crittenden,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Crittenden,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Crittenden,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Crittenden,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Crittenden,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Crittenden,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Crittenden,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Crittenden,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Crittenden,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Crittenden,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Crittenden,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Cross,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Cross,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Cross,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Cross,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Cross,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cross,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cross,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Cross,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Cross,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Cross,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Cross,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Cross,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Cross,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Cross,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Cross,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Cross,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Cross,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Dallas,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Dallas,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Dallas,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Dallas,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Dallas,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Dallas,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Dallas,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Dallas,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Dallas,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Dallas,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Dallas,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Dallas,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Dallas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Dallas,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Dallas,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Dallas,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Dallas,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Desha,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Desha,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Desha,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Desha,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Desha,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Desha,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Desha,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Desha,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Desha,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Desha,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Desha,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Desha,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Desha,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Desha,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Desha,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Desha,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Drew,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Drew,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Drew,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Drew,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Drew,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Drew,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Drew,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Drew,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Drew,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Drew,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Drew,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Drew,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Drew,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Faulkner,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H0270,002,0,3.0,,,,,,,,,,,,
Arkansas,Faulkner,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Faulkner,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Faulkner,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Faulkner,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Faulkner,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Faulkner,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5325,010,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5325,011,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Faulkner,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Faulkner,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Faulkner,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Faulkner,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Faulkner,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Franklin,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Franklin,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Franklin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Franklin,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Franklin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Franklin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Franklin,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Franklin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Franklin,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Franklin,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Franklin,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Franklin,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Fulton,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Fulton,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Fulton,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Fulton,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Fulton,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Fulton,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Fulton,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Fulton,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Fulton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Fulton,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Fulton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Fulton,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Fulton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Fulton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Fulton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Garland,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Garland,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Garland,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Garland,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Garland,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Garland,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Garland,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Garland,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Garland,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Garland,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Garland,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5325,010,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5325,011,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Garland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Garland,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Garland,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Garland,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Garland,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Grant,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Grant,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Grant,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Grant,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Grant,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Grant,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Grant,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Grant,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Grant,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Grant,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Grant,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Grant,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Grant,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Grant,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Grant,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Grant,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Grant,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Grant,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Grant,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Grant,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Grant,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Greene,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Greene,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Greene,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Greene,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Greene,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Greene,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Greene,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Greene,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Greene,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Greene,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Greene,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Greene,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Greene,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Greene,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Greene,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Greene,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Greene,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Greene,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Greene,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Hempstead,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Hempstead,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Hempstead,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Hempstead,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Hempstead,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Hempstead,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Hempstead,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Hempstead,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Hempstead,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Hempstead,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Hempstead,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Hempstead,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Hempstead,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Hot Spring,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Hot Spring,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Hot Spring,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Hot Spring,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Hot Spring,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Hot Spring,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Hot Spring,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Hot Spring,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Hot Spring,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Hot Spring,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Hot Spring,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Hot Spring,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Hot Spring,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Hot Spring,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Hot Spring,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Howard,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Howard,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Howard,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Howard,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Howard,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Howard,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Howard,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Howard,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Howard,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Howard,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Independence,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Independence,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Independence,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Independence,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Independence,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Independence,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Independence,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Independence,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Independence,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Independence,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Independence,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Independence,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Independence,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Independence,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Independence,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Independence,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Independence,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Independence,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Izard,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Izard,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Izard,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Izard,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Izard,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Izard,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Izard,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Izard,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Izard,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Izard,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Izard,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Izard,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Izard,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Izard,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Izard,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Jackson,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Jackson,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Jackson,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Jackson,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Jackson,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Jackson,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Jackson,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Jackson,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Jackson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Jackson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Jackson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Jackson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Jackson,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Jackson,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Jackson,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H0270,002,0,3.0,,,,,,,,,,,,
Arkansas,Jefferson,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Jefferson,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Jefferson,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Jefferson,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Jefferson,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Jefferson,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Jefferson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Jefferson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Jefferson,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Jefferson,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Jefferson,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Jefferson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Jefferson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Jefferson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Jefferson,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Jefferson,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Jefferson,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Johnson,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Johnson,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Johnson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Johnson,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Johnson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Johnson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Johnson,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Johnson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Johnson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Johnson,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Johnson,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Johnson,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Lafayette,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Lafayette,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Lafayette,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lafayette,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lafayette,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Lafayette,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lafayette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Lafayette,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Lafayette,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Lafayette,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Lafayette,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Lawrence,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Lawrence,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Lawrence,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Lawrence,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Lawrence,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lawrence,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lawrence,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Lawrence,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lawrence,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Lawrence,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Lawrence,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Lawrence,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Lawrence,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Lawrence,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Lawrence,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Lawrence,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Lawrence,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Lawrence,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Lee,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Lee,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Lee,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Lee,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Lee,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lee,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Lee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Lee,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Lee,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Lee,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Lee,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Lee,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Lee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Lee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Lee,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Lee,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Lee,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Lee,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Lincoln,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Lincoln,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Lincoln,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Lincoln,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Lincoln,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lincoln,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lincoln,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Lincoln,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lincoln,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Lincoln,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Lincoln,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Lincoln,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Lincoln,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Lincoln,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Lincoln,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Lincoln,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Little River,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Little River,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Little River,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Little River,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Little River,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Little River,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Little River,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Little River,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Little River,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Little River,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Little River,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Little River,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Little River,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Logan,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Logan,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Logan,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Logan,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Logan,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Logan,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Logan,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Logan,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Logan,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Logan,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Logan,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Logan,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Logan,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Logan,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Logan,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Logan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Logan,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Logan,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Logan,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Logan,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Lonoke,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H0270,002,0,3.0,,,,,,,,,,,,
Arkansas,Lonoke,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Lonoke,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Lonoke,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Lonoke,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Lonoke,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lonoke,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lonoke,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Lonoke,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Lonoke,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Lonoke,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Lonoke,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Lonoke,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Lonoke,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Lonoke,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Lonoke,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Lonoke,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Lonoke,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Lonoke,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Lonoke,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Lonoke,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Madison,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Madison,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Madison,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Madison,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Madison,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Madison,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Madison,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Madison,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Madison,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Madison,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Madison,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Madison,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Madison,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Madison,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Madison,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Madison,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Madison,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Madison,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Madison,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Marion,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Marion,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Marion,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Marion,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Marion,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Marion,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Marion,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Marion,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Marion,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Marion,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Marion,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Marion,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Marion,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Marion,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Marion,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Marion,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Marion,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Miller,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Miller,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Miller,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Miller,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Miller,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Miller,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Miller,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Miller,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Miller,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Miller,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Miller,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Miller,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Miller,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Mississippi,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Mississippi,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Mississippi,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Mississippi,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Mississippi,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Mississippi,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Mississippi,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Mississippi,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Mississippi,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Mississippi,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Mississippi,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Mississippi,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Mississippi,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Mississippi,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Mississippi,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Mississippi,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Mississippi,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Mississippi,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Monroe,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Monroe,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Monroe,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Monroe,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Monroe,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Monroe,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Monroe,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Monroe,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Monroe,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Monroe,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Monroe,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Monroe,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Monroe,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Monroe,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Monroe,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Montgomery,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Montgomery,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Montgomery,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Montgomery,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Montgomery,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Montgomery,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Montgomery,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Montgomery,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Montgomery,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Montgomery,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Montgomery,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Montgomery,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Montgomery,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Montgomery,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Nevada,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Nevada,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Nevada,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Nevada,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Nevada,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Nevada,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Nevada,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Nevada,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Nevada,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Nevada,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Nevada,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Nevada,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Nevada,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Nevada,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Nevada,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Nevada,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Nevada,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Newton,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Newton,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Newton,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Newton,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Newton,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Newton,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Newton,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Newton,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Newton,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Newton,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Newton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Newton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Newton,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Newton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Newton,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Newton,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Newton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Newton,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Newton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Newton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Newton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Ouachita,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Ouachita,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Ouachita,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Ouachita,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Ouachita,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Ouachita,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Ouachita,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Ouachita,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Ouachita,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Ouachita,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Ouachita,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Ouachita,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Ouachita,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Ouachita,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Ouachita,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Ouachita,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Perry,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Perry,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Perry,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Perry,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Perry,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Perry,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Perry,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Perry,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Perry,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Perry,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Perry,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Perry,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Perry,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Perry,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Perry,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Perry,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Perry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Perry,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Perry,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Perry,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Perry,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Phillips,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Phillips,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Phillips,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Phillips,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Phillips,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Phillips,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Phillips,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Phillips,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Phillips,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Phillips,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Phillips,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Phillips,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Phillips,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Phillips,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Phillips,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Phillips,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Pike,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Pike,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Pike,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Pike,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Pike,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pike,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pike,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Pike,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Pike,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Pike,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pike,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Pike,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Pike,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Pike,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Pike,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Pike,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Pike,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Pike,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Pike,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Poinsett,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Poinsett,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Poinsett,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Poinsett,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Poinsett,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Poinsett,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Poinsett,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Poinsett,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Poinsett,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Poinsett,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Poinsett,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Poinsett,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Poinsett,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Poinsett,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Poinsett,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Poinsett,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Poinsett,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Poinsett,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Poinsett,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Polk,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Polk,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Polk,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Polk,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Polk,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Polk,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Polk,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Polk,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Polk,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Polk,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Polk,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Polk,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Polk,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Pope,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Pope,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Pope,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pope,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pope,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Pope,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Pope,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pope,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Pope,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Pope,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Pope,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Pope,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Pope,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Pope,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Pope,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Pope,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Pope,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Prairie,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Prairie,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Prairie,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Prairie,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Prairie,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Prairie,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Prairie,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Prairie,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Prairie,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Prairie,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Prairie,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Prairie,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Prairie,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Prairie,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Prairie,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Prairie,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Prairie,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Prairie,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Prairie,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Prairie,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Prairie,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Pulaski,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H0270,002,0,3.0,,,,,,,,,,,,
Arkansas,Pulaski,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Pulaski,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Pulaski,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pulaski,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pulaski,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Pulaski,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Pulaski,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Pulaski,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Pulaski,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5325,010,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5325,011,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Pulaski,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Pulaski,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Pulaski,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Pulaski,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Pulaski,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Randolph,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Randolph,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Randolph,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Randolph,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Randolph,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Randolph,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Randolph,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Randolph,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Randolph,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Randolph,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Randolph,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Randolph,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Randolph,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Randolph,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Randolph,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Randolph,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Randolph,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Randolph,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Saline,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Saline,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Saline,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Saline,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Saline,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Saline,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Saline,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Saline,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Saline,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Saline,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Saline,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5325,010,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5325,011,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Saline,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Saline,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Saline,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Saline,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Saline,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Scott,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Scott,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Scott,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Scott,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Scott,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Scott,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Scott,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Scott,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Scott,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Scott,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Scott,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Scott,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Scott,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Scott,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Scott,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Scott,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Scott,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Scott,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Scott,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Scott,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Searcy,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Searcy,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Searcy,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Searcy,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Searcy,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Searcy,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Searcy,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Searcy,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Searcy,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Searcy,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Searcy,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Searcy,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Searcy,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Searcy,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Searcy,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Searcy,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Searcy,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Searcy,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Searcy,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Sebastian,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Sebastian,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Sebastian,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Sebastian,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Sebastian,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Sebastian,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Sebastian,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Sebastian,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Sebastian,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Sebastian,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Sebastian,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Sevier,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Sevier,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Sevier,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Sevier,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Sevier,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Sevier,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Sevier,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Sevier,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Sevier,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Sevier,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Sevier,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Sevier,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Sevier,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Sharp,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Sharp,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Sharp,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Sharp,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Sharp,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Sharp,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Sharp,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Sharp,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Sharp,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Sharp,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Sharp,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Sharp,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Sharp,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Sharp,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,St. Francis,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,St. Francis,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,St. Francis,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,St. Francis,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,St. Francis,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,St. Francis,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,St. Francis,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,St. Francis,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,St. Francis,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,St. Francis,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,St. Francis,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,St. Francis,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,St. Francis,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,St. Francis,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,St. Francis,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,St. Francis,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,St. Francis,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,St. Francis,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,St. Francis,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,St. Francis,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,St. Francis,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Stone,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Stone,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Stone,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Stone,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Stone,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Stone,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Stone,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Stone,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Stone,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Stone,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Stone,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Stone,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Stone,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Stone,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Stone,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Stone,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Stone,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Stone,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Stone,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Stone,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Union,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Union,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Union,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Union,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Union,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Union,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Union,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Union,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Union,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Union,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Union,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Union,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Union,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Union,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Union,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Union,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Union,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Van Buren,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Van Buren,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Van Buren,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Van Buren,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Van Buren,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Van Buren,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Van Buren,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Van Buren,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Van Buren,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Van Buren,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Van Buren,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Van Buren,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Van Buren,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Van Buren,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Van Buren,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Van Buren,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Van Buren,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Van Buren,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Van Buren,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Van Buren,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Washington,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Washington,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Washington,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Washington,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Washington,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Washington,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Washington,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Washington,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Washington,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Washington,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Washington,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Washington,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.40 ,$545.00 ,No,H5325,007,0,4.0,,,,,,,,,,,,
Arkansas,Washington,Humana,Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5619,123,0,4.0,,,,,,,,,,,,
Arkansas,Washington,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Washington,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Washington,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Washington,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Washington,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,White,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H0270,002,0,3.0,,,,,,,,,,,,
Arkansas,White,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,White,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,White,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,White,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,White,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,White,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,White,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,White,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,White,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,White,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,White,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,White,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,White,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,White,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,White,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,White,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,White,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Woodruff,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Woodruff,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Woodruff,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Woodruff,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Woodruff,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Woodruff,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Woodruff,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Woodruff,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Woodruff,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Woodruff,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Woodruff,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Woodruff,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Woodruff,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Woodruff,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Woodruff,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Woodruff,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Woodruff,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Arkansas,Yell,UnitedHealthcare,UHC Dual Complete AR-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,023,0,4.0,,,,,,,,,,,,
Arkansas,Yell,UnitedHealthcare,UHC Dual Complete AR-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H0271,024,0,4.0,,,,,,,,,,,,
Arkansas,Yell,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.60 ,$545.00 ,No,H1416,033,0,3.0,,,,,,,,,,,,
Arkansas,Yell,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1416,043,0,3.0,,,,,,,,,,,,
Arkansas,Yell,Tribute Health Plans,Tribute Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1587,001,0,Not enough data available,,,,,,,,,,,,
Arkansas,Yell,Tribute Health Plans,Tribute Select (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.70 ,$545.00 ,No,H1587,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Yell,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H1608,076,0,4.0,,,,,,,,,,,,
Arkansas,Yell,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H1608,077,0,4.0,,,,,,,,,,,,
Arkansas,Yell,UnitedHealthcare,UHC Complete Care AR-0005 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,019,0,4.5,,,,,,,,,,,,*
Arkansas,Yell,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H2722,003,0,Not enough data available,,,,,,,,,,,,
Arkansas,Yell,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H4513,039,0,4.0,,,,,,,,,,,,
Arkansas,Yell,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.60 ,$545.00 ,No,H4513,081,0,4.0,,,,,,,,,,,,
Arkansas,Yell,Humana,HumanaChoice SNP-DE H5216-219 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,219,0,4.5,,,,,,,,,,,,
Arkansas,Yell,Humana,HumanaChoice SNP-DE H5216-361 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H5216,361,0,4.5,,,,,,,,,,,,
Arkansas,Yell,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,366,0,4.5,,,,,,,,,,,,*
Arkansas,Yell,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.50 ,$545.00 ,No,H9630,010,0,3.5,,,,,,,,,,,,
Arkansas,Yell,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H9630,011,0,3.5,,,,,,,,,,,,
Arkansas,Yell,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H9630,014,0,3.5,,,,,,,,,,,,
Arkansas,Yell,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Arkansas,Yell,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
California,Alameda,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Alameda,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Alameda,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Alameda,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,Alameda,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,Alameda,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,Alameda,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,No,H3274,004,0,Not enough data available,,,,,*,,,,,,,
California,Alameda,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Alameda,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Alameda,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.30 ,$545.00 ,No,H4471,007,0,Plan too new to be measured,,,,,,,,,,,,
California,Alameda,Aetna Medicare,Aetna Medicare Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H4982,008,0,3.0,,,,,,,,,,,,
California,Alameda,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,076,0,4.0,,,,*,,,,,,,,
California,Alameda,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,077,0,4.0,,,,,,,,,*,,,
California,Alameda,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Alameda,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Alameda,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,Alameda,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Alpine,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Amador,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.10 ,$545.00 ,No,H3561,001,0,3.0,,,,,,,,,,,,
California,Amador,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Amador,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Amador,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Butte,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Butte,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Calaveras,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Contra Costa,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Contra Costa,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Contra Costa,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$0.00 ,Yes,H0838,047,0,2.5,,,,,,,,,,,,*
California,Contra Costa,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Contra Costa,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Contra Costa,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,Contra Costa,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Del Norte,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,El Dorado,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,El Dorado,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,El Dorado,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Fresno,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Fresno,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Fresno,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Fresno,Wellcare by Health Net,Wellcare CalViva Health Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$25.40 ,$545.00 ,No,H3561,007,0,3.0,,,,,,,,,,,,
California,Fresno,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Fresno,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Fresno,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Fresno,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$0.00 ,$545.00 ,No,H4471,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Fresno,Aetna Medicare,Aetna Medicare Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4982,009,0,3.0,,,,,,,,,,,,
California,Fresno,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H5425,098,0,4.0,,,,,,,,,,,,*
California,Fresno,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,102,0,4.0,,,,*,,,,,,,,
California,Fresno,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,103,0,4.0,,,,,,,,,*,,,
California,Fresno,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Fresno,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Fresno,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,Fresno,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,Fresno,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,Fresno,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,Fresno,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,Fresno,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Fresno,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$30.10 ,$545.00 ,No,H8794,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Glenn,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Humboldt,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Imperial,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Imperial,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Imperial,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Imperial,Molina Healthcare of California,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H3038,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Imperial,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.10 ,$545.00 ,No,H3561,001,0,3.0,,,,,,,,,,,,
California,Imperial,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Inyo,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Inyo,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Kern,UnitedHealthcare,UHC Complete Care CA-027P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,226,0,3.5,,,,,,,,,,,,*
California,Kern,UnitedHealthcare,UHC Complete Care CA-04AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$21.50 ,$545.00 ,No,H0543,242,0,3.5,,,,,,,,,,,,*
California,Kern,Wellcare by Health Net,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H0562,092,0,3.0,,,,,,,,,,,,*
California,Kern,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Kern,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Kern,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Kern,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.10 ,$545.00 ,No,H3561,001,0,3.0,,,,,,,,,,,,
California,Kern,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$0.80 ,$545.00 ,No,H4471,003,0,Plan too new to be measured,,,,,,,,,,,,
California,Kern,Aetna Medicare,Aetna Medicare Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4982,009,0,3.0,,,,,,,,,,,,
California,Kern,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Kern,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Kern,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,Kern,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Kern,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P5 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.30 ,$545.00 ,No,H8794,005,0,Plan too new to be measured,,,,,,,,,,,,
California,Kings,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Kings,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Kings,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Kings,Wellcare by Health Net,Wellcare CalViva Health Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$25.40 ,$545.00 ,No,H3561,007,0,3.0,,,,,,,,,,,,
California,Kings,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Kings,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$0.00 ,$545.00 ,No,H4471,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Kings,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Kings,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Kings,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,Kings,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Kings,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$30.10 ,$545.00 ,No,H8794,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,UnitedHealthcare,UHC Complete Care CA-018P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,217,0,3.5,,,,,,,,,,,,*
California,Los Angeles,UnitedHealthcare,UHC Complete Care CA-018P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,217,0,3.5,,,,,,,,,,,,*
California,Los Angeles,UnitedHealthcare,UHC Complete Care CA-01AP (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$18.60 ,$545.00 ,No,H0543,239,0,3.5,,,,,,,,,,,,*
California,Los Angeles,UnitedHealthcare,UHC Complete Care CA-01AP (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$18.60 ,$545.00 ,No,H0543,239,0,3.5,,,,,,,,,,,,*
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,004,0,3.0,,,,,,,,,,,,*
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,004,0,3.0,,,,,,,,,,,,*
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,005,0,3.0,,,,,,,,,,,,
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,005,0,3.0,,,,,,,,,,,,
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,014,0,3.0,,,,,,,*,,,,,
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,014,0,3.0,,,,,,,*,,,,,
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,015,0,3.0,,,,,*,,,,,,,
California,Los Angeles,Anthem Blue Cross,Anthem I Carelon Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,015,0,3.0,,,,,*,,,,,,,
California,Los Angeles,Wellcare by Health Net,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H0562,092,0,3.0,,,,,,,,,,,,*
California,Los Angeles,Wellcare by Health Net,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H0562,092,0,3.0,,,,,,,,,,,,*
California,Los Angeles,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Los Angeles,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Los Angeles,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,1,2.5,,,,,,,,,,,,*
California,Los Angeles,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,1,2.5,,,,,,,,,,,,*
California,Los Angeles,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,1,2.5,,,,,,,,,,,,*
California,Los Angeles,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,1,2.5,,,,,,,,,,,,*
California,Los Angeles,SCAN Health Plan,SCAN Connections (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.70 ,$545.00 ,No,H0976,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Connections (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.70 ,$545.00 ,No,H0976,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Connections at Home (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$19.20 ,$545.00 ,No,H0976,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Connections at Home (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$19.20 ,$545.00 ,No,H0976,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,L.A. Care Health Plan,L.A. Care Medicare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$41.00 ,$545.00 ,No,H1224,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,L.A. Care Health Plan,L.A. Care Medicare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$41.00 ,$545.00 ,No,H1224,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Astiva Health,Astiva Health C-SNP Deluxe (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1993,007,0,3.0,*,*,,*,,,,,,,,
California,Los Angeles,Astiva Health,Astiva Health C-SNP Deluxe (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1993,007,0,3.0,*,*,,*,,,,,,,,
California,Los Angeles,Astiva Health,Astiva Health C-SNP WOW (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$40.00 ,$545.00 ,Yes,H1993,008,0,3.0,*,*,,*,,,,,,,,
California,Los Angeles,Astiva Health,Astiva Health C-SNP WOW (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$40.00 ,$545.00 ,Yes,H1993,008,0,3.0,*,*,,*,,,,,,,,
California,Los Angeles,Blue Shield of California,Blue Shield TotalDual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Enhanced,EA,$41.00 ,$545.00 ,Yes,H2819,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Blue Shield of California,Blue Shield TotalDual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Enhanced,EA,$41.00 ,$545.00 ,Yes,H2819,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Molina Healthcare of California,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.40 ,$545.00 ,No,H3038,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Molina Healthcare of California,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.40 ,$545.00 ,No,H3038,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Molina Healthcare of California,Molina Medicare Complete Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$24.20 ,$545.00 ,No,H3038,003,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Molina Healthcare of California,Molina Medicare Complete Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$24.20 ,$545.00 ,No,H3038,003,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,Los Angeles,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,Los Angeles,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,Los Angeles,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,Los Angeles,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,Los Angeles,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,Los Angeles,Wellcare by Health Net,Wellcare Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$19.70 ,$545.00 ,No,H3561,008,0,3.0,,,,,,,,,,,,
California,Los Angeles,Wellcare by Health Net,Wellcare Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$19.70 ,$545.00 ,No,H3561,008,0,3.0,,,,,,,,,,,,
California,Los Angeles,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Los Angeles,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Los Angeles,Alignment Health Plan,Alignment Health ESRD Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,033,0,4.0,,,,,*,,,,,,,
California,Los Angeles,Alignment Health Plan,Alignment Health ESRD Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,033,0,4.0,,,,,*,,,,,,,
California,Los Angeles,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Los Angeles,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Los Angeles,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H4471,009,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H4471,009,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,028,0,4.0,,,,,,,,,*,,,
California,Los Angeles,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,028,0,4.0,,,,,,,,,*,,,
California,Los Angeles,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,034,0,4.0,,,,*,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,034,0,4.0,,,,*,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Embrace (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,086,0,4.0,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Embrace (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,086,0,4.0,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.70 ,$545.00 ,No,H5425,097,0,4.0,,,,,,,,,,,,*
California,Los Angeles,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.70 ,$545.00 ,No,H5425,097,0,4.0,,,,,,,,,,,,*
California,Los Angeles,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Los Angeles,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Los Angeles,Central Health Medicare Plan,Central Health Medi-Medi Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5649,002,0,3.5,,,,,,,,,,,,
California,Los Angeles,Central Health Medicare Plan,Central Health Medi-Medi Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5649,002,0,3.5,,,,,,,,,,,,
California,Los Angeles,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,Los Angeles,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,Los Angeles,AHF,PHP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$475.00 ,Yes,H5852,001,0,3.0,,,,,,*,,,,,,
California,Los Angeles,AHF,PHP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$475.00 ,Yes,H5852,001,0,3.0,,,,,,*,,,,,,
California,Los Angeles,VillageHealth,VillageHealth (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$24.00 ,$545.00 ,No,H5943,002,0,3.0,,,,,*,,,,,,,
California,Los Angeles,VillageHealth,VillageHealth (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$24.00 ,$545.00 ,No,H5943,002,0,3.0,,,,,*,,,,,,,
California,Los Angeles,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,Los Angeles,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,Los Angeles,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,Los Angeles,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,Los Angeles,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,Los Angeles,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,Los Angeles,Clever Care Health Plan,Clever Care Total + (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$15.70 ,$545.00 ,No,H7607,011,1,3.0,,,,,,,,,,*,,
California,Los Angeles,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$34.90 ,$545.00 ,No,H8794,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$34.90 ,$545.00 ,No,H8794,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Healthy at Home (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9104,006,0,Not enough data available,,,,,,,,,,,,
California,Los Angeles,SCAN Health Plan,SCAN Healthy at Home (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9104,006,0,Not enough data available,,,,,,,,,,,,
California,Madera,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Madera,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Madera,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Madera,Wellcare by Health Net,Wellcare CalViva Health Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$25.40 ,$545.00 ,No,H3561,007,0,3.0,,,,,,,,,,,,
California,Madera,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Madera,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Madera,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Madera,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$0.00 ,$545.00 ,No,H4471,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Madera,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H5425,098,0,4.0,,,,,,,,,,,,*
California,Madera,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,102,0,4.0,,,,*,,,,,,,,
California,Madera,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,103,0,4.0,,,,,,,,,*,,,
California,Madera,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Madera,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Madera,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,Madera,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,Madera,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,Madera,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,Madera,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Madera,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$30.10 ,$545.00 ,No,H8794,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Marin,UnitedHealthcare,UHC Complete Care CA-025P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$36.00 ,$0.00 ,Yes,H0543,224,0,3.5,,,,,,,,,,,,*
California,Marin,UnitedHealthcare,UHC Complete Care CA-08AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$18.40 ,$545.00 ,No,H0543,249,0,3.5,,,,,,,,,,,,*
California,Marin,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,Marin,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,Marin,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,Marin,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,No,H3274,004,0,Not enough data available,,,,,*,,,,,,,
California,Marin,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Marin,Alignment Health Plan,Alignment Health CalPlusDuals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$1.60 ,$545.00 ,No,H3815,030,0,4.0,,,,,,,,,,,,
California,Marin,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Marin,Aetna Medicare,Aetna Medicare Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H4982,008,0,3.0,,,,,,,,,,,,
California,Marin,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Marin,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Mariposa,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Mariposa,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Mendocino,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Merced,Blue Shield of California,Blue Shield Inspire (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.60 ,$545.00 ,Yes,H2819,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Merced,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Merced,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Merced,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Merced,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Merced,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Modoc,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Mono,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Mono,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Monterey,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Monterey,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Napa,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Napa,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Napa,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Nevada,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Orange,UnitedHealthcare,UHC Complete Care CA-019P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,218,0,3.5,,,,,,,,,,,,*
California,Orange,UnitedHealthcare,UHC Complete Care CA-02AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$19.80 ,$545.00 ,No,H0543,240,0,3.5,,,,,,,,,,,,*
California,Orange,Anthem Blue Cross,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,004,0,3.0,,,,,,,,,,,,*
California,Orange,Anthem Blue Cross,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,005,0,3.0,,,,,,,,,,,,
California,Orange,Anthem Blue Cross,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,014,0,3.0,,,,,,,*,,,,,
California,Orange,Anthem Blue Cross,Anthem I Carelon Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,015,0,3.0,,,,,*,,,,,,,
California,Orange,Wellcare by Health Net,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H0562,092,0,3.0,,,,,,,,,,,,*
California,Orange,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Orange,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,1,2.5,,,,,,,,,,,,*
California,Orange,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,1,2.5,,,,,,,,,,,,*
California,Orange,Astiva Health,Astiva Health C-SNP Deluxe (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1993,007,0,3.0,*,*,,*,,,,,,,,
California,Orange,Astiva Health,Astiva Health C-SNP WOW (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$40.00 ,$545.00 ,Yes,H1993,008,0,3.0,*,*,,*,,,,,,,,
California,Orange,Blue Shield of California,Blue Shield TotalDual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.10 ,$545.00 ,Yes,H2819,003,0,Plan too new to be measured,,,,,,,,,,,,
California,Orange,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,Orange,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,Orange,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,Orange,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,No,H3274,004,0,Not enough data available,,,,,*,,,,,,,
California,Orange,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.30 ,$545.00 ,No,H3561,009,0,3.0,,,,,,,,,,,,
California,Orange,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Orange,Alignment Health Plan,Alignment Health ESRD Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,033,0,4.0,,,,,*,,,,,,,
California,Orange,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Orange,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,028,0,4.0,,,,,,,,,*,,,
California,Orange,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,034,0,4.0,,,,*,,,,,,,,
California,Orange,SCAN Health Plan,SCAN Embrace (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,087,0,4.0,,,,,,,,,,,,
California,Orange,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.70 ,$545.00 ,No,H5425,097,0,4.0,,,,,,,,,,,,*
California,Orange,"OneCare, a Medicare Medi-Cal Plan","OneCare, a Medicare Medi-Cal Plan (HMO D-SNP)",Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$41.00 ,$545.00 ,No,H5433,001,0,3.0,,,,,,,,,,,,
California,Orange,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Orange,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,Orange,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,Orange,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,Orange,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,Orange,Clever Care Health Plan,Clever Care Total + (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$15.70 ,$545.00 ,No,H7607,011,2,3.0,,,,,,,,,,*,,
California,Orange,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$34.90 ,$545.00 ,No,H8794,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Orange,SCAN Health Plan,SCAN Healthy at Home (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9104,006,0,Not enough data available,,,,,,,,,,,,
California,Placer,UnitedHealthcare,UHC Complete Care CA-08AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$18.40 ,$545.00 ,No,H0543,249,0,3.5,,,,,,,,,,,,*
California,Placer,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Placer,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Placer,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Placer,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.10 ,$545.00 ,No,H3561,001,0,3.0,,,,,,,,,,,,
California,Placer,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Placer,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Placer,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Placer,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Placer,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Plumas,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Riverside,UnitedHealthcare,UHC Complete Care CA-020P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,219,0,3.5,,,,,,,,,,,,*
California,Riverside,UnitedHealthcare,UHC Complete Care CA-03AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$20.30 ,$545.00 ,No,H0543,241,0,3.5,,,,,,,,,,,,*
California,Riverside,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Riverside,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,1,2.5,,,,,,,,,,,,*
California,Riverside,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,1,2.5,,,,,,,,,,,,*
California,Riverside,SCAN Health Plan,SCAN Connections (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.70 ,$545.00 ,No,H0976,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Riverside,SCAN Health Plan,SCAN Connections at Home (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$19.20 ,$545.00 ,No,H0976,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Riverside,Astiva Health,Astiva Health C-SNP Deluxe (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1993,007,0,3.0,*,*,,*,,,,,,,,
California,Riverside,Astiva Health,Astiva Health C-SNP WOW (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$40.00 ,$545.00 ,Yes,H1993,008,0,3.0,*,*,,*,,,,,,,,
California,Riverside,Molina Healthcare of California,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.40 ,$545.00 ,No,H3038,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Riverside,Molina Healthcare of California,Molina Medicare Complete Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$24.20 ,$545.00 ,No,H3038,003,0,Plan too new to be measured,,,,,,,,,,,,
California,Riverside,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,Riverside,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,Riverside,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,Riverside,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.30 ,$545.00 ,No,H3561,009,0,3.0,,,,,,,,,,,,
California,Riverside,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Riverside,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Riverside,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,033,0,4.0,,,,,,,,,*,,,
California,Riverside,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.70 ,$545.00 ,No,H5425,097,0,4.0,,,,,,,,,,,,*
California,Riverside,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,104,0,4.0,,,,*,,,,,,,,
California,Riverside,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Riverside,VillageHealth,VillageHealth (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$370.00 ,No,H5943,001,0,3.0,,,,,*,,,,,,,
California,Riverside,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,Riverside,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,Riverside,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,Riverside,Clever Care Health Plan,Clever Care Total + (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$15.70 ,$545.00 ,No,H7607,011,5,3.0,,,,,,,,,,*,,
California,Riverside,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$34.90 ,$545.00 ,No,H8794,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Riverside,IEHP DualChoice,IEHP DualChoice (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$41.00 ,$545.00 ,No,H8894,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Riverside,SCAN Health Plan,SCAN Healthy at Home (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9104,006,0,Not enough data available,,,,,,,,,,,,
California,Sacramento,UnitedHealthcare,UHC Complete Care CA-08AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$18.40 ,$545.00 ,No,H0543,249,0,3.5,,,,,,,,,,,,*
California,Sacramento,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Sacramento,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Sacramento,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Sacramento,Wellcare by Health Net,Wellcare Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$19.70 ,$545.00 ,No,H3561,008,0,3.0,,,,,,,,,,,,
California,Sacramento,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Sacramento,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Sacramento,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Sacramento,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H4471,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Sacramento,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Sacramento,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Sacramento,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$30.10 ,$545.00 ,No,H8794,002,0,Plan too new to be measured,,,,,,,,,,,,
California,San Benito,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,San Bernardino,UnitedHealthcare,UHC Complete Care CA-020P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,219,0,3.5,,,,,,,,,,,,*
California,San Bernardino,UnitedHealthcare,UHC Complete Care CA-03AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$20.30 ,$545.00 ,No,H0543,241,0,3.5,,,,,,,,,,,,*
California,San Bernardino,Anthem Blue Cross,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,005,0,3.0,,,,,,,,,,,,
California,San Bernardino,Anthem Blue Cross,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,010,0,3.0,,,,,,,,,,,,*
California,San Bernardino,Anthem Blue Cross,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,019,0,3.0,,,,,,,*,,,,,
California,San Bernardino,Anthem Blue Cross,Anthem I Carelon Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0544,020,0,3.0,,,,,*,,,,,,,
California,San Bernardino,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,San Bernardino,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,1,2.5,,,,,,,,,,,,*
California,San Bernardino,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,1,2.5,,,,,,,,,,,,*
California,San Bernardino,SCAN Health Plan,SCAN Connections (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.70 ,$545.00 ,No,H0976,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Bernardino,SCAN Health Plan,SCAN Connections at Home (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$19.20 ,$545.00 ,No,H0976,002,0,Plan too new to be measured,,,,,,,,,,,,
California,San Bernardino,Astiva Health,Astiva Health C-SNP Deluxe (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1993,007,0,3.0,*,*,,*,,,,,,,,
California,San Bernardino,Astiva Health,Astiva Health C-SNP WOW (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$40.00 ,$545.00 ,Yes,H1993,008,0,3.0,*,*,,*,,,,,,,,
California,San Bernardino,Blue Shield of California,Blue Shield TotalDual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.10 ,$545.00 ,Yes,H2819,003,0,Plan too new to be measured,,,,,,,,,,,,
California,San Bernardino,Molina Healthcare of California,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.40 ,$545.00 ,No,H3038,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Bernardino,Molina Healthcare of California,Molina Medicare Complete Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$24.20 ,$545.00 ,No,H3038,003,0,Plan too new to be measured,,,,,,,,,,,,
California,San Bernardino,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.30 ,$545.00 ,No,H3561,009,0,3.0,,,,,,,,,,,,
California,San Bernardino,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,San Bernardino,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,San Bernardino,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,033,0,4.0,,,,,,,,,*,,,
California,San Bernardino,SCAN Health Plan,SCAN Embrace (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,091,0,4.0,,,,,,,,,,,,
California,San Bernardino,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.70 ,$545.00 ,No,H5425,097,0,4.0,,,,,,,,,,,,*
California,San Bernardino,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,104,0,4.0,,,,*,,,,,,,,
California,San Bernardino,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,San Bernardino,Central Health Medicare Plan,Central Health Medi-Medi Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5649,002,0,3.5,,,,,,,,,,,,
California,San Bernardino,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,San Bernardino,VillageHealth,VillageHealth (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$370.00 ,No,H5943,001,0,3.0,,,,,*,,,,,,,
California,San Bernardino,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,San Bernardino,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,San Bernardino,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,San Bernardino,Clever Care Health Plan,Clever Care Total + (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$15.70 ,$545.00 ,No,H7607,011,4,3.0,,,,,,,,,,*,,
California,San Bernardino,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$34.90 ,$545.00 ,No,H8794,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Bernardino,IEHP DualChoice,IEHP DualChoice (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$41.00 ,$545.00 ,No,H8894,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Bernardino,SCAN Health Plan,SCAN Healthy at Home (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9104,006,0,Not enough data available,,,,,,,,,,,,
California,San Diego,UnitedHealthcare,UHC Complete Care CA-015P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,214,0,3.5,,,,,,,,,,,,*
California,San Diego,UnitedHealthcare,UHC Complete Care CA-06AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.10 ,$545.00 ,No,H0543,246,0,3.5,,,,,,,,,,,,*
California,San Diego,Wellcare by Health Net,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H0562,092,0,3.0,,,,,,,,,,,,*
California,San Diego,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,1,2.5,,,,,,,,,,,,*
California,San Diego,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,1,2.5,,,,,,,,,,,,*
California,San Diego,SCAN Health Plan,SCAN Connections (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.70 ,$545.00 ,No,H0976,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Diego,SCAN Health Plan,SCAN Connections at Home (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$19.20 ,$545.00 ,No,H0976,002,0,Plan too new to be measured,,,,,,,,,,,,
California,San Diego,Astiva Health,Astiva Health C-SNP Deluxe (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1993,007,0,3.0,*,*,,*,,,,,,,,
California,San Diego,Astiva Health,Astiva Health C-SNP WOW (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$40.00 ,$545.00 ,Yes,H1993,008,0,3.0,*,*,,*,,,,,,,,
California,San Diego,Blue Shield of California,Blue Shield TotalDual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Enhanced,EA,$41.00 ,$545.00 ,Yes,H2819,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Diego,Molina Healthcare of California,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.40 ,$545.00 ,No,H3038,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Diego,Molina Healthcare of California,Molina Medicare Complete Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$24.20 ,$545.00 ,No,H3038,003,0,Plan too new to be measured,,,,,,,,,,,,
California,San Diego,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.30 ,$545.00 ,No,H3561,009,0,3.0,,,,,,,,,,,,
California,San Diego,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,San Diego,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,San Diego,Community Health Group,CommuniCare Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$41.00 ,$545.00 ,No,H4733,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Diego,Aetna Medicare,Aetna Medicare Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.50 ,$545.00 ,No,H4982,016,0,3.0,,,,,,,,,,,,
California,San Diego,SCAN Health Plan,Scripps Heart First offered by SCAN Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$26.00 ,$0.00 ,Yes,H5425,055,0,4.0,,,,,,,,,*,,,
California,San Diego,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.70 ,$545.00 ,No,H5425,097,0,4.0,,,,,,,,,,,,*
California,San Diego,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,105,0,4.0,,,,*,,,,,,,,
California,San Diego,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,San Diego,Champion Heath Plan,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6170,001,0,Plan too new to be measured,,,,,*,,,,,,,
California,San Diego,Champion Heath Plan,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H6170,002,0,Plan too new to be measured,,,,,*,,,,,,,
California,San Diego,Champion Heath Plan,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$0.00 ,Yes,H6170,003,0,Plan too new to be measured,,,,,*,,,,,,,
California,San Diego,Community Health Group,Community y M�s (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6248,001,0,Plan too new to be measured,,,,,,,,,,,,*
California,San Diego,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,San Diego,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$34.90 ,$545.00 ,No,H8794,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Francisco,CCHP (Chinese Community Health Plan),CCHP Senior Select Program (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.00 ,$545.00 ,No,H0571,005,0,3.0,,,,,,,,,,,,
California,San Francisco,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,San Francisco,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,San Francisco,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,San Francisco,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,San Francisco,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,San Francisco,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,San Francisco,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,No,H3274,004,0,Not enough data available,,,,,*,,,,,,,
California,San Francisco,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.10 ,$545.00 ,No,H3561,001,0,3.0,,,,,,,,,,,,
California,San Francisco,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,San Francisco,Alignment Health Plan,Alignment Health CalPlusDuals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$1.60 ,$545.00 ,No,H3815,030,0,4.0,,,,,,,,,,,,
California,San Francisco,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,San Francisco,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H4471,004,0,Plan too new to be measured,,,,,,,,,,,,
California,San Francisco,Aetna Medicare,Aetna Medicare Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H4982,008,0,3.0,,,,,,,,,,,,
California,San Francisco,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$29.00 ,$0.00 ,Yes,H5425,106,0,4.0,,,,*,,,,,,,,
California,San Francisco,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$29.00 ,$0.00 ,Yes,H5425,111,0,4.0,,,,,,,,,*,,,
California,San Francisco,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,San Francisco,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,San Francisco,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,San Joaquin,UnitedHealthcare,UHC Complete Care CA-08AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$18.40 ,$545.00 ,No,H0543,249,0,3.5,,,,,,,,,,,,*
California,San Joaquin,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,San Joaquin,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,San Joaquin,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,San Joaquin,Blue Shield of California,Blue Shield Inspire (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.60 ,$545.00 ,Yes,H2819,002,0,Plan too new to be measured,,,,,,,,,,,,
California,San Joaquin,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.10 ,$545.00 ,No,H3561,001,0,3.0,,,,,,,,,,,,
California,San Joaquin,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,San Joaquin,Alignment Health Plan,Alignment Health CalPlusDuals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$1.60 ,$545.00 ,No,H3815,030,0,4.0,,,,,,,,,,,,
California,San Joaquin,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,San Joaquin,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.10 ,$545.00 ,No,H4471,006,0,Plan too new to be measured,,,,,,,,,,,,
California,San Joaquin,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,San Joaquin,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,San Joaquin,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,San Joaquin,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,San Joaquin,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,San Joaquin,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,San Luis Obispo,UnitedHealthcare,UHC Complete Care CA-07AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$23.90 ,$545.00 ,No,H0543,247,0,3.5,,,,,,,,,,,,*
California,San Luis Obispo,UnitedHealthcare,UHC Complete Care CA-036P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$19.00 ,$0.00 ,Yes,H0543,248,0,3.5,,,,,,,,,,,,*
California,San Luis Obispo,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,San Luis Obispo,Alignment Health Plan,Alignment Health CalPlusDuals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$1.60 ,$545.00 ,No,H3815,030,0,4.0,,,,,,,,,,,,
California,San Luis Obispo,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,San Luis Obispo,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,San Luis Obispo,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,San Luis Obispo,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,San Mateo,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,San Mateo,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,San Mateo,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,San Mateo,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,San Mateo,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,San Mateo,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,No,H3274,004,0,Not enough data available,,,,,*,,,,,,,
California,San Mateo,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,076,0,4.0,,,,*,,,,,,,,
California,San Mateo,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,077,0,4.0,,,,,,,,,*,,,
California,San Mateo,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,San Mateo,HEALTH PLAN OF SAN MATEO,CareAdvantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Enhanced,EA,$41.00 ,$545.00 ,No,H6019,001,0,Plan too new to be measured,,,,,,,,,,,,
California,San Mateo,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$30.10 ,$545.00 ,No,H8794,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Santa Barbara,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Santa Barbara,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Santa Clara,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Santa Clara,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Santa Clara,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.00 ,$545.00 ,No,H3274,001,0,Not enough data available,,,,,,,,,,,,
California,Santa Clara,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,002,0,Not enough data available,,,,,,,,,,,,
California,Santa Clara,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H3274,003,0,Not enough data available,,,*,,,,,,,,,
California,Santa Clara,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,No,H3274,004,0,Not enough data available,,,,,*,,,,,,,
California,Santa Clara,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Santa Clara,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Santa Clara,Santa Clara Family Health Plan,DualConnect (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$41.00 ,$545.00 ,No,H4045,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Santa Clara,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Santa Clara,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H4471,009,0,Plan too new to be measured,,,,,,,,,,,,
California,Santa Clara,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,070,0,4.0,,,,*,,,,,,,,
California,Santa Clara,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H5425,098,0,4.0,,,,,,,,,,,,*
California,Santa Clara,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,112,0,4.0,,,,,,,,,*,,,
California,Santa Clara,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Santa Clara,Central Health Medicare Plan,Central Health Focus Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5649,006,0,3.5,,,,,,,,,,,,*
California,Santa Clara,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$30.10 ,$545.00 ,No,H8794,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Santa Cruz,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Santa Cruz,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Shasta,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Shasta,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Siskiyou,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Solano,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Solano,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Solano,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$0.00 ,Yes,H0838,047,0,2.5,,,,,,,,,,,,*
California,Solano,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Solano,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Solano,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Sonoma,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Sonoma,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Sonoma,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Stanislaus,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Stanislaus,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Stanislaus,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Stanislaus,Blue Shield of California,Blue Shield Inspire (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.60 ,$545.00 ,Yes,H2819,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Stanislaus,Wellcare by Health Net,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.10 ,$545.00 ,No,H3561,001,0,3.0,,,,,,,,,,,,
California,Stanislaus,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Stanislaus,Alignment Health Plan,Alignment Health CalPlusDuals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$1.60 ,$545.00 ,No,H3815,030,0,4.0,,,,,,,,,,,,
California,Stanislaus,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Stanislaus,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,070,0,4.0,,,,*,,,,,,,,
California,Stanislaus,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H5425,098,0,4.0,,,,,,,,,,,,*
California,Stanislaus,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5425,112,0,4.0,,,,,,,,,*,,,
California,Stanislaus,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Stanislaus,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Stanislaus,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,Stanislaus,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Stanislaus,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Sutter,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Tehama,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Tehama,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Tulare,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Tulare,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Tulare,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Tulare,Wellcare by Health Net,Wellcare Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$19.70 ,$545.00 ,No,H3561,008,0,3.0,,,,,,,,,,,,
California,Tulare,Anthem Blue Cross Partnership Plan,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,Yes,Basic,DS,$23.30 ,$545.00 ,No,H4471,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Tulare,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$0.00 ,$545.00 ,No,H4471,002,0,Plan too new to be measured,,,,,,,,,,,,
California,Tulare,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Tulare,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Tulare,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,Tulare,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Tulare,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Tuolumne,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Tuolumne,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Ventura,UnitedHealthcare,UHC Complete Care CA-028P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0543,227,0,3.5,,,,,,,,,,,,*
California,Ventura,UnitedHealthcare,UHC Complete Care CA-05AP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$21.40 ,$545.00 ,No,H0543,243,0,3.5,,,,,,,,,,,,*
California,Ventura,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Ventura,Alignment Health Plan,Alignment Health CalPlusDuals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$1.60 ,$545.00 ,No,H3815,030,0,4.0,,,,,,,,,,,,
California,Ventura,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Ventura,Anthem Blue Cross Partnership Plan,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$9.50 ,$545.00 ,No,H4471,005,0,Plan too new to be measured,,,,,,,,,,,,
California,Ventura,Aetna Medicare,Aetna Medicare Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4982,009,0,3.0,,,,,,,,,,,,
California,Ventura,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$24.70 ,$545.00 ,No,H5425,097,0,4.0,,,,,,,,,,,,*
California,Ventura,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Ventura,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Ventura,Humana,Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.20 ,$545.00 ,No,H5619,038,0,4.0,,,,,,,,,,,,
California,Ventura,Central Health Medicare Plan,Central Health Ventura Medi-Medi Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5649,009,0,3.5,,,,,,,,,,,,
California,Ventura,Anthem Blue Cross Life and Health Insurance Co.,Anthem Kidney Care (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$37.10 ,$130.00 ,Yes,H8552,028,0,2.5,,,,,*,,,,,,,
California,Ventura,Kaiser Permanente,Senior Advantage Medicare Medi-Cal South P5 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.30 ,$545.00 ,No,H8794,005,0,Plan too new to be measured,,,,,,,,,,,,
California,Yolo,Brand New Day,Brand New Day Dual Access Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,024,0,2.5,,,,,,,,,,,,
California,Yolo,Brand New Day,Brand New Day Embrace Care Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0838,039,2,2.5,,,,,,,,,,,,*
California,Yolo,Brand New Day,Brand New Day Embrace Choice Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$41.00 ,$545.00 ,Yes,H0838,040,2,2.5,,,,,,,,,,,,*
California,Yolo,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3815,010,0,4.0,,,,,,,,,,,,*
California,Yolo,Alignment Health Plan,Alignment Health Heart & Diabetes CalPlus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$8.50 ,$545.00 ,No,H3815,039,0,4.0,,,,,,,,,,,,*
California,Yolo,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Yolo,"Imperial Health Plan of California, Inc.",Imperial Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$41.00 ,$545.00 ,Yes,H5496,011,0,3.5,,,,,,,,,,,,
California,Yolo,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
California,Yuba,Anthem Blue Cross Life and Health Company,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H4704,001,0,Plan too new to be measured,,,,,,,,,,,,
California,Yuba,"Imperial Health Plan of California, Inc.",Imperial Senior Value (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5496,005,0,3.5,,,,,,,,,,,,*
California,Yuba,Kaiser Permanente,Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.70 ,$545.00 ,No,H8794,004,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Adams,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Adams,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Adams,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Adams,UnitedHealthcare,UHC Complete Care CO-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,047,0,4.5,,,,,,,,,,,,*
Colorado,Adams,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Adams,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Adams,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Adams,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Adams,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Adams,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Adams,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,Adams,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Adams,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Adams,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Adams,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Adams,Elevate Medicare Advantage,Elevate Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5608,001,0,3.5,,,,,,,,,,,,
Colorado,Adams,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Adams,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Adams,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Alamosa,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Alamosa,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Alamosa,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Alamosa,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Arapahoe,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Arapahoe,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Arapahoe,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Arapahoe,UnitedHealthcare,UHC Complete Care CO-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,047,0,4.5,,,,,,,,,,,,*
Colorado,Arapahoe,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Arapahoe,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Arapahoe,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Arapahoe,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Arapahoe,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Arapahoe,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Arapahoe,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,Arapahoe,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H3419,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Arapahoe,Perennial Advantage,Perennial Advantage Premier (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3419,004,0,Not enough data available,,,,,,,,,,,,
Colorado,Arapahoe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Arapahoe,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Arapahoe,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Arapahoe,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Arapahoe,Elevate Medicare Advantage,Elevate Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5608,001,0,3.5,,,,,,,,,,,,
Colorado,Arapahoe,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Arapahoe,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Arapahoe,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Archuleta,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Archuleta,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Archuleta,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Baca,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Bent,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Bent,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Bent,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Bent,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Boulder,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Boulder,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Boulder,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Boulder,UnitedHealthcare,UHC Complete Care CO-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,047,0,4.5,,,,,,,,,,,,*
Colorado,Boulder,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Boulder,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Boulder,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Boulder,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Boulder,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Boulder,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Boulder,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,Boulder,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H3419,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Boulder,Perennial Advantage,Perennial Advantage Premier (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3419,004,0,Not enough data available,,,,,,,,,,,,
Colorado,Boulder,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Boulder,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Boulder,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Boulder,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Boulder,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Boulder,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Boulder,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Broomfield,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Broomfield,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Broomfield,UnitedHealthcare,UHC Complete Care CO-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,047,0,4.5,,,,,,,,,,,,*
Colorado,Broomfield,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Broomfield,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Broomfield,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Broomfield,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Broomfield,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Broomfield,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,Broomfield,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H3419,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Broomfield,Perennial Advantage,Perennial Advantage Premier (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3419,004,0,Not enough data available,,,,,,,,,,,,
Colorado,Broomfield,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Broomfield,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Broomfield,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Broomfield,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Broomfield,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Broomfield,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Broomfield,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Chaffee,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Chaffee,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Chaffee,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Chaffee,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Cheyenne,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Cheyenne,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Cheyenne,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Clear Creek,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Clear Creek,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Clear Creek,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Clear Creek,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Clear Creek,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Clear Creek,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Clear Creek,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Clear Creek,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Clear Creek,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Clear Creek,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Clear Creek,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Conejos,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Conejos,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Conejos,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Conejos,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Conejos,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Costilla,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Costilla,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Costilla,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Costilla,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Crowley,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Crowley,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Crowley,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Crowley,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Crowley,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Crowley,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Crowley,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Crowley,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Custer,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Custer,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Custer,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Custer,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Custer,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Custer,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Custer,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Custer,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Delta,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Delta,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Delta,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Delta,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Delta,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Denver,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Denver,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Denver,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Denver,UnitedHealthcare,UHC Complete Care CO-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,047,0,4.5,,,,,,,,,,,,*
Colorado,Denver,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Denver,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Denver,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Denver,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Denver,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Denver,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Denver,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,Denver,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H3419,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Denver,Perennial Advantage,Perennial Advantage Premier (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3419,004,0,Not enough data available,,,,,,,,,,,,
Colorado,Denver,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Denver,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Denver,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Denver,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Denver,Elevate Medicare Advantage,Elevate Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5608,001,0,3.5,,,,,,,,,,,,
Colorado,Denver,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Denver,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Denver,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Dolores,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Dolores,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Douglas,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Douglas,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Douglas,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Douglas,UnitedHealthcare,UHC Complete Care CO-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,047,0,4.5,,,,,,,,,,,,*
Colorado,Douglas,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Douglas,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Douglas,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Douglas,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Douglas,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Douglas,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Douglas,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,Douglas,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Douglas,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Douglas,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Douglas,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Douglas,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Colorado,Douglas,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Colorado,Douglas,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Douglas,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Douglas,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Eagle,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,El Paso,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,El Paso,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,El Paso,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,El Paso,UnitedHealthcare,UHC Complete Care CO-002P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,049,0,4.5,,,,,,,,,,,,*
Colorado,El Paso,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,El Paso,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,El Paso,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,El Paso,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,El Paso,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,El Paso,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,El Paso,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,El Paso,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,El Paso,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,El Paso,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,El Paso,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,El Paso,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,El Paso,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Elbert,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Elbert,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Elbert,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Elbert,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Elbert,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Elbert,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Elbert,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Elbert,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Elbert,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Fremont,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Fremont,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Fremont,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Fremont,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Fremont,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Fremont,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Fremont,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Fremont,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Fremont,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Fremont,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Fremont,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Fremont,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Fremont,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Fremont,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Garfield,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Gilpin,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Gilpin,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Gilpin,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Gilpin,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Gilpin,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Gilpin,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Gilpin,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Gilpin,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Gilpin,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Grand,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Grand,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Grand,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Grand,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Grand,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Grand,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Gunnison,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Gunnison,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Hinsdale,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Hinsdale,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Huerfano,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Huerfano,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Huerfano,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Huerfano,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Huerfano,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Huerfano,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Huerfano,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Huerfano,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Jackson,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Jackson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Jackson,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Jackson,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Jackson,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Jackson,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Jefferson,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Jefferson,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Jefferson,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Jefferson,UnitedHealthcare,UHC Complete Care CO-001P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,047,0,4.5,,,,,,,,,,,,*
Colorado,Jefferson,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Jefferson,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Jefferson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Jefferson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Jefferson,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Jefferson,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Jefferson,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H1994,028,0,5.0,,,,,,,,,,,,
Colorado,Jefferson,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H3419,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Jefferson,Perennial Advantage,Perennial Advantage Premier (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3419,004,0,Not enough data available,,,,,,,,,,,,
Colorado,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Jefferson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Jefferson,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Jefferson,Elevate Medicare Advantage,Elevate Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5608,001,0,3.5,,,,,,,,,,,,
Colorado,Jefferson,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Jefferson,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Jefferson,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Kiowa,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Kiowa,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Kiowa,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Kit Carson,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Kit Carson,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Kit Carson,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,La Plata,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,La Plata,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,La Plata,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,La Plata,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,La Plata,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Lake,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Lake,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Lake,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Lake,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Larimer,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Larimer,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Larimer,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Larimer,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Larimer,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Larimer,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Larimer,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Larimer,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Larimer,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Larimer,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Larimer,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Larimer,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Larimer,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Larimer,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Larimer,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Las Animas,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Las Animas,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Las Animas,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Las Animas,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Lincoln,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Lincoln,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Lincoln,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Lincoln,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Lincoln,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Lincoln,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Lincoln,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Logan,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Logan,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Logan,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Logan,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Mesa,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Mesa,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Mesa,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Mesa,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Mesa,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Mesa,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Mesa,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Mesa,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Mineral,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Mineral,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Moffat,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Montezuma,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Montezuma,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Montezuma,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Montezuma,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Montrose,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Montrose,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Montrose,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Morgan,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Morgan,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Morgan,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Morgan,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Morgan,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Morgan,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Morgan,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Otero,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Otero,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Otero,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Otero,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Ouray,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Ouray,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Park,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Park,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Park,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Park,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0630,014,0,4.5,,,,,,,,,,,,
Colorado,Park,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Park,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Park,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Park,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Park,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Phillips,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Phillips,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Phillips,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Pitkin,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Pueblo,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Pueblo,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Pueblo,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Pueblo,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Pueblo,Kaiser Permanente,Senior Advantage Medicare Medicaid Pueblo (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H0630,024,0,4.5,,,,,,,,,,,,
Colorado,Pueblo,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Pueblo,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Pueblo,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Pueblo,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Pueblo,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Pueblo,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Pueblo,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Pueblo,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Pueblo,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Pueblo,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Pueblo,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Rio Blanco,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Rio Blanco,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Rio Grande,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Rio Grande,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Routt,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Routt,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Saguache,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Saguache,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Saguache,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Saguache,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,San Juan,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,San Juan,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,San Miguel,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,San Miguel,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Summit,UnitedHealthcare,UHC Rocky Mountain Dual Complete CO-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H2582,002,0,3.5,,,,,,,,,,,,
Colorado,Summit,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Teller,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Teller,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Teller,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Teller,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Teller,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Teller,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Teller,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Teller,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Teller,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Teller,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Teller,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Teller,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Washington,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Washington,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Washington,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Washington,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Washington,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Washington,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Weld,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Weld,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Weld,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.60 ,$545.00 ,No,H0363,001,0,Not enough data available,,,,,,,,,,,,
Colorado,Weld,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Colorado,Weld,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H0672,009,0,3.0,,,,,,,,,,,,
Colorado,Weld,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H0672,010,0,3.0,,,,,,,,,,,,
Colorado,Weld,UnitedHealthcare,UHC Nursing Home Plan CO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H0710,007,0,5.0,,,,,,,,,,,,
Colorado,Weld,UnitedHealthcare,UHC Care Advantage CO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,008,0,5.0,,,,,,,,,,,,
Colorado,Weld,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H4346,014,0,3.0,,,,,,,,,,,,
Colorado,Weld,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,029,0,3.0,,,,,*,,,,,,,
Colorado,Weld,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4711,012,0,3.0,,,,,,,,,,,,
Colorado,Weld,Humana,HumanaChoice SNP-DE H5216-267 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H5216,267,0,4.5,,,,,,,,,,,,
Colorado,Weld,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6379,002,0,Not enough data available,,,,,,,,,,,,*
Colorado,Weld,Devoted Health,Devoted DUAL PLUS Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$18.80 ,$545.00 ,No,H7147,003,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Weld,Devoted Health,Devoted DUAL Colorado (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.10 ,$545.00 ,No,H7147,007,0,Plan too new to be measured,,,,,,,,,,,,
Colorado,Yuma,UnitedHealthcare,UHC Dual Complete CO-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,045,0,4.0,,,,,,,,,,,,
Colorado,Yuma,UnitedHealthcare,UHC Dual Complete CO-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0271,046,0,4.0,,,,,,,,,,,,
Colorado,Yuma,UnitedHealthcare,UHC Dual Complete CO-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.60 ,$545.00 ,No,H0624,001,0,4.0,,,,,,,,,,,,
Connecticut,Fairfield,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,Fairfield,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,Fairfield,UnitedHealthcare,UHC Care Advantage CT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,No,H0710,009,0,5.0,,,,,,,,,,,,
Connecticut,Fairfield,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,Fairfield,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,Fairfield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,Fairfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,Fairfield,Cigna Healthcare,Cigna TotalCare Select Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.10 ,$545.00 ,No,H2752,003,0,Not enough data available,,,,,,,,,,,,
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,Fairfield,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,Fairfield,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,Fairfield,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,Fairfield,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$26.40 ,$310.00 ,No,H5854,012,0,4.0,,,,,*,,,,,,,
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Connecticut,Fairfield,Anthem Blue Cross and Blue Shield,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,Yes,H5854,014,0,4.0,,,,,,,,,,,,
Connecticut,Hartford,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,Hartford,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,Hartford,UnitedHealthcare,UHC Care Advantage CT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,No,H0710,009,0,5.0,,,,,,,,,,,,
Connecticut,Hartford,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,Hartford,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,Hartford,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,Hartford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,Hartford,Cigna Healthcare,Cigna TotalCare Select Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.10 ,$545.00 ,No,H2752,003,0,Not enough data available,,,,,,,,,,,,
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,Hartford,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,Hartford,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,Hartford,Humana,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5216,290,0,4.5,,,,,,,,,,,,
Connecticut,Hartford,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,Hartford,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$26.40 ,$310.00 ,No,H5854,012,0,4.0,,,,,*,,,,,,,
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Connecticut,Hartford,Anthem Blue Cross and Blue Shield,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,Yes,H5854,014,0,4.0,,,,,,,,,,,,
Connecticut,Litchfield,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,Litchfield,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,Litchfield,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,Litchfield,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,Litchfield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,Litchfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,Litchfield,Cigna Healthcare,Cigna TotalCare Select Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.10 ,$545.00 ,No,H2752,003,0,Not enough data available,,,,,,,,,,,,
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,Litchfield,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,Litchfield,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,Litchfield,Humana,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5216,290,0,4.5,,,,,,,,,,,,
Connecticut,Litchfield,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,Litchfield,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$26.40 ,$310.00 ,No,H5854,012,0,4.0,,,,,*,,,,,,,
Connecticut,Litchfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Connecticut,Middlesex,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,Middlesex,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,Middlesex,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,Middlesex,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,Middlesex,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,Middlesex,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,Middlesex,Cigna Healthcare,Cigna TotalCare Select Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.10 ,$545.00 ,No,H2752,003,0,Not enough data available,,,,,,,,,,,,
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,Middlesex,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,Middlesex,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,Middlesex,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,Middlesex,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$26.40 ,$310.00 ,No,H5854,012,0,4.0,,,,,*,,,,,,,
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Connecticut,Middlesex,Anthem Blue Cross and Blue Shield,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,Yes,H5854,014,0,4.0,,,,,,,,,,,,
Connecticut,New Haven,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,New Haven,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,New Haven,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,New Haven,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,New Haven,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,New Haven,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,New Haven,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2752,002,0,Not enough data available,,,,,,,,,,,,
Connecticut,New Haven,Cigna Healthcare,Cigna TotalCare Select Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.10 ,$545.00 ,No,H2752,003,0,Not enough data available,,,,,,,,,,,,
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,New Haven,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,New Haven,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,New Haven,Humana,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5216,290,0,4.5,,,,,,,,,,,,
Connecticut,New Haven,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,New Haven,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$26.40 ,$310.00 ,No,H5854,012,0,4.0,,,,,*,,,,,,,
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Connecticut,New Haven,Anthem Blue Cross and Blue Shield,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,Yes,H5854,014,0,4.0,,,,,,,,,,,,
Connecticut,New London,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,New London,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,New London,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,New London,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,New London,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,New London,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,New London,Cigna Healthcare,Cigna TotalCare Select Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.10 ,$545.00 ,No,H2752,003,0,Not enough data available,,,,,,,,,,,,
Connecticut,New London,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,New London,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,New London,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,New London,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,New London,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,New London,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,New London,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Connecticut,New London,Anthem Blue Cross and Blue Shield,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,Yes,H5854,014,0,4.0,,,,,,,,,,,,
Connecticut,Tolland,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,Tolland,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,Tolland,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,Tolland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,Tolland,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,Tolland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,Tolland,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,Tolland,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,Tolland,Humana,HumanaChoice SNP-DE H5216-290 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5216,290,0,4.5,,,,,,,,,,,,
Connecticut,Tolland,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,Tolland,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$26.40 ,$310.00 ,No,H5854,012,0,4.0,,,,,*,,,,,,,
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Connecticut,Tolland,Anthem Blue Cross and Blue Shield,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,Yes,H5854,014,0,4.0,,,,,,,,,,,,
Connecticut,Windham,UnitedHealthcare,UHC Dual Complete CT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,014,0,4.0,,,,,,,,,,,,
Connecticut,Windham,UnitedHealthcare,UHC Dual Complete CT-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0271,059,0,4.0,,,,,,,,,,,,
Connecticut,Windham,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Connecticut,Windham,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0712,005,0,3.5,,,,,,,,,,,,
Connecticut,Windham,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H0712,029,0,3.5,,,,,,,,,,,,
Connecticut,Windham,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.00 ,$545.00 ,No,H1914,006,0,3.0,,,,,,,,,,,,
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2836,006,0,3.0,,,,,,,,,,,,
Connecticut,Windham,ConnectiCare,ConnectiCare Choice Dual (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,001,0,3.0,,,,,,,,,,,,
Connecticut,Windham,ConnectiCare,ConnectiCare Choice Dual Vista (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.30 ,$545.00 ,No,H3276,003,0,3.0,,,,,,,,,,,,
Connecticut,Windham,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H5793,017,0,4.5,,,,,,,,,,,,
Connecticut,Windham,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5793,020,0,4.5,,,,,,,,,,,,
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H5854,008,0,4.0,,,,,,,,,,,,
Connecticut,Windham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H5854,013,0,4.0,,,,,,,,,,,,
Delaware,Kent,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Delaware,Kent,AmeriHealth Caritas VIP Care (HMO-D-SNP),AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H0738,001,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,Kent,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$72.00 ,$0.00 ,No,H2108,029,0,3.0,,,,*,,,,,,,,
Delaware,Kent,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H2108,039,0,3.0,,,,,,,,,,,,
Delaware,Kent,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.60 ,$545.00 ,No,H2108,043,1,3.0,,,,,,,,,,,,
Delaware,Kent,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Delaware,Kent,UnitedHealthcare,UHC Dual Complete DE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H3113,011,0,3.5,,,,,,,,,,,,
Delaware,Kent,UnitedHealthcare,UHC Dual Complete DE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H3113,013,0,3.5,,,,,,,,,,,,
Delaware,Kent,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.50 ,$545.00 ,No,H3959,063,0,4.5,,,,,,,,,,,,
Delaware,Kent,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.50 ,$545.00 ,No,H4661,002,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,Kent,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.10 ,$545.00 ,No,H4661,003,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,Kent,Humana,Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H6622,051,0,4.0,,,,,,,,,,,,
Delaware,New Castle,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Delaware,New Castle,AmeriHealth Caritas VIP Care (HMO-D-SNP),AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H0738,001,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,New Castle,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$72.00 ,$0.00 ,No,H2108,029,0,3.0,,,,*,,,,,,,,
Delaware,New Castle,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H2108,039,0,3.0,,,,,,,,,,,,
Delaware,New Castle,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.60 ,$545.00 ,No,H2108,043,1,3.0,,,,,,,,,,,,
Delaware,New Castle,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Delaware,New Castle,UnitedHealthcare,UHC Dual Complete DE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H3113,011,0,3.5,,,,,,,,,,,,
Delaware,New Castle,UnitedHealthcare,UHC Dual Complete DE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H3113,013,0,3.5,,,,,,,,,,,,
Delaware,New Castle,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.50 ,$545.00 ,No,H3959,063,0,4.5,,,,,,,,,,,,
Delaware,New Castle,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.50 ,$545.00 ,No,H4661,002,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,New Castle,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.10 ,$545.00 ,No,H4661,003,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,New Castle,Humana,Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H6622,051,0,4.0,,,,,,,,,,,,
Delaware,Sussex,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Delaware,Sussex,AmeriHealth Caritas VIP Care (HMO-D-SNP),AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H0738,001,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,Sussex,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$72.00 ,$0.00 ,No,H2108,029,0,3.0,,,,*,,,,,,,,
Delaware,Sussex,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H2108,039,0,3.0,,,,,,,,,,,,
Delaware,Sussex,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.60 ,$545.00 ,No,H2108,043,1,3.0,,,,,,,,,,,,
Delaware,Sussex,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Delaware,Sussex,UnitedHealthcare,UHC Dual Complete DE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H3113,011,0,3.5,,,,,,,,,,,,
Delaware,Sussex,UnitedHealthcare,UHC Dual Complete DE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H3113,013,0,3.5,,,,,,,,,,,,
Delaware,Sussex,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.50 ,$545.00 ,No,H3959,063,0,4.5,,,,,,,,,,,,
Delaware,Sussex,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.50 ,$545.00 ,No,H4661,002,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,Sussex,Wellcare,Wellcare Dual Liberty (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.10 ,$545.00 ,No,H4661,003,0,Plan too new to be measured,,,,,,,,,,,,
Delaware,Sussex,Humana,Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H6622,051,0,4.0,,,,,,,,,,,,
District of Columbia,District of Columbia,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
District of Columbia,District of Columbia,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
District of Columbia,District of Columbia,UnitedHealthcare,UHC Dual Choice DC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$41.30 ,$545.00 ,No,H2406,053,0,4.0,,,,,,,,,,,,
District of Columbia,District of Columbia,UnitedHealthcare,UHC Dual Choice DC-Q001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H2406,099,0,4.0,,,,,,,,,,,,
District of Columbia,District of Columbia,UnitedHealthcare,UHC Dual Choice DC-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.30 ,$545.00 ,No,H7464,010,0,3.5,,,,,,,,,,,,
Florida,Alachua,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Alachua,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Alachua,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Alachua,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Alachua,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Alachua,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Alachua,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Alachua,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Alachua,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Alachua,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,Alachua,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Alachua,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Alachua,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Alachua,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Alachua,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Alachua,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,001,0,Not enough data available,,,,,,,,,,,,
Florida,Alachua,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,002,0,Not enough data available,,,*,,,,,,,,,
Florida,Alachua,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,003,0,Not enough data available,,,,,*,,,,,,,
Florida,Alachua,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,004,0,Not enough data available,,,,,,,,,,,,
Florida,Alachua,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Alachua,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Alachua,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Alachua,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Baker,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Baker,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Baker,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Baker,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Baker,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Baker,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Baker,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Baker,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Baker,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Baker,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Baker,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Baker,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Bay,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Bay,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Bay,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Bay,Humana,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,214,0,5.0,,,,,,,,,,,,
Florida,Bay,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Bay,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Bay,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Bay,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Bay,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Bay,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H5410,013,0,4.5,,,,,,,,,,,,
Florida,Bay,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$29.80 ,$545.00 ,No,H5410,042,0,4.5,,,,,,,,,,,,
Florida,Bay,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Bradford,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Bradford,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Bradford,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Bradford,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Bradford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Bradford,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Bradford,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Bradford,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Bradford,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Bradford,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Bradford,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Bradford,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Bradford,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Brevard,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Brevard,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Brevard,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H1019,073,0,4.0,,,,,,,,,,,,
Florida,Brevard,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,108,0,4.0,,,,,,,,,,,,*
Florida,Brevard,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,117,0,4.0,,,,,,,*,,,,,
Florida,Brevard,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Brevard,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Brevard,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Brevard,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Brevard,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,029,0,4.0,,,,,,,,,,,,
Florida,Brevard,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Brevard,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,1,4.5,,,,,,,,,,,,*
Florida,Brevard,Devoted Health,Devoted DUAL East Coast Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$16.10 ,$545.00 ,No,H1290,039,0,5.0,,,,,,,,,,,,
Florida,Brevard,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Brevard,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$27.90 ,$545.00 ,No,H1609,046,0,4.0,,,,,,,,,,,,
Florida,Brevard,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Brevard,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Brevard,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.10 ,$545.00 ,No,H5410,031,0,4.5,,,,,,,,,,,,
Florida,Brevard,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,045,0,4.5,,,,,,,,,,,,
Florida,Brevard,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Brevard,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,Brevard,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Brevard,"Freedom Health, Inc.",Freedom VIP Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,108,0,4.5,,,,,,,,,,,,*
Florida,Brevard,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Brevard,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Brevard,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,034,0,5.0,,,,,,,,,,,,*
Florida,Brevard,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Brevard,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Brevard,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Brevard,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Brevard,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Broward,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Broward,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Broward,Solis Health Plans,Solis Guardian Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H0982,012,0,4.0,,,,,,,,,,,,
Florida,Broward,Solis Health Plans,Solis Wellness Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0982,017,0,4.0,,,,,,,,,,,,*
Florida,Broward,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.20 ,$545.00 ,No,H1019,023,0,4.0,,,,,,,,,,,,
Florida,Broward,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,124,0,4.0,,,,,,,*,,,,,
Florida,Broward,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,130,0,4.0,,,,,,,,,,,,*
Florida,Broward,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,145,0,4.0,,,,,,,,,,,,
Florida,Broward,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Broward,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Broward,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Broward,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,028,0,4.0,,,,,,,,,,,,
Florida,Broward,Humana,Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,077,0,5.0,,,,,,,,,,,,
Florida,Broward,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,121,0,5.0,,,,,,,,,,,,*
Florida,Broward,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Broward,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,297,0,5.0,,,,,,,*,,,,,
Florida,Broward,Humana,Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,304,0,5.0,,,,,,,,,,,,
Florida,Broward,UnitedHealthcare,UHC Preferred Dual Complete FL-D001 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,012,0,4.5,,,,,,,,,,,,
Florida,Broward,Devoted Health,Devoted DUAL PLUS Broward (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.00 ,$545.00 ,No,H1290,020,0,5.0,,,,,,,,,,,,
Florida,Broward,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Broward,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Broward,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Broward,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Broward,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,017,0,4.0,,,,,,,,,,,,
Florida,Broward,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$32.50 ,$545.00 ,No,H1609,043,0,4.0,,,,,,,,,,,,
Florida,Broward,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Broward,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Broward,"Doctors HealthCare Plans, Inc.",DrPlus-B (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.60 ,$545.00 ,No,H4140,010,0,3.5,,,,,,,,,,,,
Florida,Broward,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,049,0,4.5,,,,,,,,,,,,
Florida,Broward,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,056,0,4.5,,,,,,,,,,,,
Florida,Broward,UnitedHealthcare,UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5420,006,0,5.0,,,,,,,,,,,,
Florida,Broward,UnitedHealthcare,UHC MedicareMax Complete Care FL-0030 (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5420,014,0,5.0,,,,,,,,,,,,*
Florida,Broward,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Broward,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,Broward,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,083,0,4.5,,,,,,,*,,,,,
Florida,Broward,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Broward,"HealthSun Health Plans, Inc.",HealthSun MediSun Extra (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$19.80 ,$545.00 ,No,H5431,019,0,5.0,,,,,,,,,,,,
Florida,Broward,"HealthSun Health Plans, Inc.",HealthSun VitalCare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5431,021,0,5.0,,,,,,,,,,,,*
Florida,Broward,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Broward,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,076,0,5.0,,,,,,,,,,,,
Florida,Broward,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,080,0,5.0,,,,,,,,,,,,*
Florida,Broward,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,125,0,5.0,,,,,,,,,,,,
Florida,Broward,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,126,0,5.0,,,,,,,,,,,,*
Florida,Broward,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Broward,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Broward,AmeriHealth Caritas VIP Care (HMO-D-SNP),AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H6378,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Broward,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Broward,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Broward,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Broward,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Broward,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Calhoun,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Calhoun,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Calhoun,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Calhoun,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Calhoun,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Calhoun,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Calhoun,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Charlotte,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Charlotte,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Charlotte,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Charlotte,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Charlotte,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Charlotte,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Charlotte,Humana,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,285,0,5.0,,,,,,,,,,,,
Florida,Charlotte,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,310,0,5.0,,,,,,,*,,,,,
Florida,Charlotte,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,311,0,5.0,,,,,,,,,,,,*
Florida,Charlotte,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Charlotte,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Charlotte,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,2,4.5,,,,,,,,,,,,*
Florida,Charlotte,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$21.30 ,$545.00 ,No,H1609,056,0,4.0,,,,,,,,,,,,
Florida,Charlotte,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Charlotte,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Charlotte,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,047,0,4.5,,,,,,,,,,,,
Florida,Charlotte,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,055,0,4.5,,,,,,,,,,,,
Florida,Charlotte,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Charlotte,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,Charlotte,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,083,0,4.5,,,,,,,*,,,,,
Florida,Charlotte,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Charlotte,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Charlotte,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Charlotte,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,034,0,5.0,,,,,,,,,,,,*
Florida,Charlotte,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,035,0,5.0,,,,,,,*,,,,,
Florida,Charlotte,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Citrus,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Citrus,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Citrus,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Citrus,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Citrus,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Citrus,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Citrus,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,160,0,5.0,,,,,,,,,,,,*
Florida,Citrus,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Citrus,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Citrus,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Citrus,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Citrus,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Citrus,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.90 ,$545.00 ,No,H1609,061,0,4.0,,,,,,,,,,,,
Florida,Citrus,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Citrus,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Citrus,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Citrus,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Citrus,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,021,0,4.0,,,,,,,,,,*,,
Florida,Citrus,Ultimate Health Plans,Advantage Care CHF by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,022,0,4.0,,*,,,,,,,,,,
Florida,Citrus,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Citrus,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Citrus,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Citrus,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Citrus,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Citrus,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Citrus,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Citrus,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Citrus,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Citrus,"Freedom Health, Inc.",Freedom VIP Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,099,0,4.5,,,,,,,,,,,,*
Florida,Citrus,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Citrus,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Citrus,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,028,0,5.0,,,,,,,,,,,,*
Florida,Citrus,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,029,0,5.0,,,,,,,*,,,,,
Florida,Citrus,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Citrus,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Citrus,"Optimum HealthCare, Inc.",Optimum Diamond (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,036,0,5.0,,,,,,,,,,,,*
Florida,Citrus,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Clay,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Clay,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Clay,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H1019,073,0,4.0,,,,,,,,,,,,
Florida,Clay,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,109,0,4.0,,,,,,,,,,,,*
Florida,Clay,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,118,0,4.0,,,,,,,*,,,,,
Florida,Clay,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Clay,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Clay,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Clay,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Clay,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,031,0,4.0,,,,,,,,,,,,
Florida,Clay,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Clay,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Clay,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Clay,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Clay,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Clay,Devoted Health,Devoted DUAL Jacksonville (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.10 ,$545.00 ,No,H1290,023,0,5.0,,,,,,,,,,,,
Florida,Clay,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Clay,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Clay,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Clay,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Clay,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Clay,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,Clay,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Clay,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Clay,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Clay,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Clay,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.10 ,$545.00 ,No,H5410,031,0,4.5,,,,,,,,,,,,
Florida,Clay,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,045,0,4.5,,,,,,,,,,,,
Florida,Clay,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,111,0,5.0,,,,,,,,,,,,
Florida,Clay,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9943,003,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Clay,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$545.00 ,No,H9943,004,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Clay,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Collier,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Collier,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Collier,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Collier,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Collier,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Collier,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Collier,Humana,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,285,0,5.0,,,,,,,,,,,,
Florida,Collier,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,310,0,5.0,,,,,,,*,,,,,
Florida,Collier,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,311,0,5.0,,,,,,,,,,,,*
Florida,Collier,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Collier,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Collier,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,2,4.5,,,,,,,,,,,,*
Florida,Collier,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$21.30 ,$545.00 ,No,H1609,056,0,4.0,,,,,,,,,,,,
Florida,Collier,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Collier,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Collier,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,047,0,4.5,,,,,,,,,,,,
Florida,Collier,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,055,0,4.5,,,,,,,,,,,,
Florida,Collier,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Collier,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,Collier,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,083,0,4.5,,,,,,,*,,,,,
Florida,Collier,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Collier,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Collier,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Collier,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,034,0,5.0,,,,,,,,,,,,*
Florida,Collier,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,035,0,5.0,,,,,,,*,,,,,
Florida,Collier,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Florida,Collier,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Columbia,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Columbia,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Columbia,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Columbia,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Columbia,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Columbia,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Columbia,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Columbia,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Columbia,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Columbia,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Columbia,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Columbia,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,DeSoto,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,DeSoto,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,DeSoto,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,DeSoto,Humana,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,285,0,5.0,,,,,,,,,,,,
Florida,DeSoto,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,310,0,5.0,,,,,,,*,,,,,
Florida,DeSoto,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,311,0,5.0,,,,,,,,,,,,*
Florida,DeSoto,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,DeSoto,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,DeSoto,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,DeSoto,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Dixie,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Dixie,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Dixie,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Dixie,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Dixie,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Dixie,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Dixie,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Dixie,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Dixie,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Duval,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Duval,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Duval,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H1019,073,0,4.0,,,,,,,,,,,,
Florida,Duval,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,109,0,4.0,,,,,,,,,,,,*
Florida,Duval,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,118,0,4.0,,,,,,,*,,,,,
Florida,Duval,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Duval,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Duval,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Duval,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Duval,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,031,0,4.0,,,,,,,,,,,,
Florida,Duval,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Duval,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Duval,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Duval,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Duval,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Duval,Devoted Health,Devoted DUAL Jacksonville (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.10 ,$545.00 ,No,H1290,023,0,5.0,,,,,,,,,,,,
Florida,Duval,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Duval,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Duval,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Duval,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Duval,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Duval,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,Duval,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Duval,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Duval,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Duval,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Duval,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.10 ,$545.00 ,No,H5410,031,0,4.5,,,,,,,,,,,,
Florida,Duval,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,045,0,4.5,,,,,,,,,,,,
Florida,Duval,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,111,0,5.0,,,,,,,,,,,,
Florida,Duval,American Health Advantage of Florida,American Health Advantage of Florida (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H6652,001,0,Not enough data available,,,,,,,,,,,,
Florida,Duval,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9943,003,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Duval,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$545.00 ,No,H9943,004,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Duval,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Duval,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Duval,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Duval,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Escambia,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Florida,Escambia,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Escambia,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Escambia,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Escambia,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Escambia,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,050,0,4.0,,,,,,,,,,,,
Florida,Escambia,Humana,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,214,0,5.0,,,,,,,,,,,,
Florida,Escambia,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Escambia,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Escambia,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Escambia,Devoted Health,Devoted DUAL PLUS Northwest Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.60 ,$545.00 ,No,H1290,042,0,5.0,,,,,,,,,,,,
Florida,Escambia,Devoted Health,Devoted DUAL Northwest Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.30 ,$545.00 ,No,H1290,043,0,5.0,,,,,,,,,,,,
Florida,Escambia,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$34.90 ,$545.00 ,No,H1609,064,0,4.0,,,,,,,,,,,,
Florida,Escambia,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Escambia,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Escambia,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H5410,013,0,4.5,,,,,,,,,,,,
Florida,Escambia,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$29.80 ,$545.00 ,No,H5410,042,0,4.5,,,,,,,,,,,,
Florida,Escambia,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Escambia,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Escambia,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Escambia,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Flagler,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H1019,073,0,4.0,,,,,,,,,,,,
Florida,Flagler,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,108,0,4.0,,,,,,,,,,,,*
Florida,Flagler,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,117,0,4.0,,,,,,,*,,,,,
Florida,Flagler,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Flagler,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Flagler,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Flagler,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Flagler,Humana,Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.40 ,$545.00 ,No,H1036,209,0,5.0,,,,,,,,,,,,
Florida,Flagler,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Flagler,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,301,0,5.0,,,,,,,,,,,,*
Florida,Flagler,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Flagler,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,315,0,5.0,,,,,,,*,,,,,
Florida,Flagler,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Flagler,Devoted Health,Devoted DUAL Daytona (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$17.00 ,$545.00 ,No,H1290,041,0,5.0,,,,,,,,,,,,
Florida,Flagler,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Flagler,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$33.40 ,$545.00 ,No,H1609,055,0,4.0,,,,,,,,,,,,
Florida,Flagler,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Flagler,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Flagler,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Flagler,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.10 ,$545.00 ,No,H5410,031,0,4.5,,,,,,,,,,,,
Florida,Flagler,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,045,0,4.5,,,,,,,,,,,,
Florida,Flagler,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Franklin,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Franklin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Franklin,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Franklin,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Franklin,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Franklin,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Franklin,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Gadsden,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Gadsden,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Gadsden,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Gadsden,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Gadsden,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Gadsden,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Gadsden,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Gilchrist,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Gilchrist,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Gilchrist,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Gilchrist,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Gilchrist,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Gilchrist,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Gilchrist,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Gilchrist,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Gilchrist,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Glades,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Glades,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Glades,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Glades,Humana,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,226,0,5.0,,,,,,,,,,,,
Florida,Glades,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,292,0,5.0,,,,,,,,,,,,*
Florida,Glades,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,298,0,5.0,,,,,,,*,,,,,
Florida,Glades,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Glades,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Glades,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Gulf,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Gulf,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Gulf,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Gulf,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Gulf,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Gulf,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Gulf,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Hamilton,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Hamilton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Hamilton,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Hamilton,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Hamilton,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Hamilton,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Hamilton,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Hamilton,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Hamilton,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Hardee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Hardee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Hardee,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Hardee,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Hardee,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Hardee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Hardee,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Hardee,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Hardee,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Hardee,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Hardee,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Hardee,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Hardee,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Hendry,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Hendry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Hendry,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Hendry,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Hendry,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Hendry,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Hernando,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Hernando,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Hernando,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Hernando,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,141,0,4.0,,,,,,,,,,,,*
Florida,Hernando,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,142,0,4.0,,,,,,,*,,,,,
Florida,Hernando,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Hernando,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Hernando,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Hernando,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Hernando,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Hernando,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Hernando,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,160,0,5.0,,,,,,,,,,,,*
Florida,Hernando,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Hernando,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Hernando,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Hernando,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Hernando,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Hernando,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Hernando,Devoted Health,Devoted DUAL Tampa (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.00 ,$545.00 ,No,H1290,024,0,5.0,,,,,,,,,,,,
Florida,Hernando,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Hernando,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Hernando,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Hernando,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Hernando,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Hernando,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,019,0,4.0,,,,,,,,,,,,
Florida,Hernando,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,044,0,4.0,,,,,,,,,,,,
Florida,Hernando,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Hernando,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Hernando,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Hernando,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,021,0,4.0,,,,,,,,,,*,,
Florida,Hernando,Ultimate Health Plans,Advantage Care CHF by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,022,0,4.0,,*,,,,,,,,,,
Florida,Hernando,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,025,0,4.0,,,,,,,*,,,,,
Florida,Hernando,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Hernando,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Hernando,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Hernando,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$26.60 ,$545.00 ,No,H5410,032,0,4.5,,,,,,,,,,,,
Florida,Hernando,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Hernando,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Hernando,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Hernando,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Hernando,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Hernando,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Hernando,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Hernando,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,075,0,5.0,,,,,,,,,,,,*
Florida,Hernando,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$29.90 ,$545.00 ,No,H5471,082,0,5.0,,,,,,,,,,,,
Florida,Hernando,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.30 ,$545.00 ,No,H5471,118,0,5.0,,,,,,,,,,,,
Florida,Hernando,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,119,0,5.0,,,,,,,,,,,,*
Florida,Hernando,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Hernando,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Hernando,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,028,0,5.0,,,,,,,,,,,,*
Florida,Hernando,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,029,0,5.0,,,,,,,*,,,,,
Florida,Hernando,"Optimum HealthCare, Inc.",Optimum Diamond (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,036,0,5.0,,,,,,,,,,,,*
Florida,Hernando,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Highlands,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Highlands,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Highlands,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Highlands,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Highlands,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Highlands,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Highlands,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Highlands,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Highlands,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Highlands,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$32.50 ,$545.00 ,No,H1609,065,0,4.0,,,,,,,,,,,,
Florida,Highlands,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Highlands,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Highlands,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Highlands,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Highlands,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,UnitedHealthcare,UHC Nursing Home Plan FL-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.20 ,$545.00 ,No,H0710,038,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,Solis Health Plans,Solis Guardian Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H0982,010,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,Solis Health Plans,Solis Wellness Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0982,019,0,4.0,,,,,,,,,,,,*
Florida,Hillsborough,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Hillsborough,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Hillsborough,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Hillsborough,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Hillsborough,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Hillsborough,Florida Blue HMO,BlueMedicare Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,030,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,160,0,5.0,,,,,,,,,,,,*
Florida,Hillsborough,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Hillsborough,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Hillsborough,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Hillsborough,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Hillsborough,Devoted Health,Devoted DUAL Tampa (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.00 ,$545.00 ,No,H1290,024,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,019,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,044,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Hillsborough,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Hillsborough,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Hillsborough,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,025,0,4.0,,,,,,,*,,,,,
Florida,Hillsborough,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,026,0,4.0,,,,,,,,,,,,*
Florida,Hillsborough,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Hillsborough,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Hillsborough,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$26.60 ,$545.00 ,No,H5410,032,0,4.5,,,,,,,,,,,,
Florida,Hillsborough,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Hillsborough,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Hillsborough,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Hillsborough,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Hillsborough,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Hillsborough,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,075,0,5.0,,,,,,,,,,,,*
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$29.90 ,$545.00 ,No,H5471,082,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.30 ,$545.00 ,No,H5471,118,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,119,0,5.0,,,,,,,,,,,,*
Florida,Hillsborough,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Hillsborough,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,028,0,5.0,,,,,,,,,,,,*
Florida,Hillsborough,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,029,0,5.0,,,,,,,*,,,,,
Florida,Hillsborough,"Optimum HealthCare, Inc.",Optimum Diamond (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,036,0,5.0,,,,,,,,,,,,*
Florida,Hillsborough,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,001,0,Not enough data available,,,,,,,,,,,,
Florida,Hillsborough,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,002,0,Not enough data available,,,*,,,,,,,,,
Florida,Hillsborough,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,003,0,Not enough data available,,,,,*,,,,,,,
Florida,Hillsborough,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,004,0,Not enough data available,,,,,,,,,,,,
Florida,Hillsborough,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Hillsborough,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Hillsborough,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Hillsborough,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Holmes,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Holmes,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Holmes,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Holmes,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Holmes,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Holmes,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Holmes,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Indian River,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Indian River,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Indian River,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H1019,073,0,4.0,,,,,,,,,,,,
Florida,Indian River,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,108,0,4.0,,,,,,,,,,,,*
Florida,Indian River,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,117,0,4.0,,,,,,,*,,,,,
Florida,Indian River,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Indian River,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Indian River,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Indian River,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Indian River,Humana,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,226,0,5.0,,,,,,,,,,,,
Florida,Indian River,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,292,0,5.0,,,,,,,,,,,,*
Florida,Indian River,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,298,0,5.0,,,,,,,*,,,,,
Florida,Indian River,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Indian River,Devoted Health,Devoted DUAL East Coast Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$16.10 ,$545.00 ,No,H1290,039,0,5.0,,,,,,,,,,,,
Florida,Indian River,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Indian River,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$34.90 ,$545.00 ,No,H1609,062,0,4.0,,,,,,,,,,,,
Florida,Indian River,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Indian River,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Indian River,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Indian River,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,033,0,4.0,,,,,,,,,,,,*
Florida,Indian River,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Indian River,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Indian River,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,047,0,4.5,,,,,,,,,,,,
Florida,Indian River,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,055,0,4.5,,,,,,,,,,,,
Florida,Indian River,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Indian River,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,Indian River,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,083,0,4.5,,,,,,,*,,,,,
Florida,Indian River,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Indian River,"Freedom Health, Inc.",Freedom VIP Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,108,0,4.5,,,,,,,,,,,,*
Florida,Indian River,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Indian River,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Indian River,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,034,0,5.0,,,,,,,,,,,,*
Florida,Indian River,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,035,0,5.0,,,,,,,*,,,,,
Florida,Indian River,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Indian River,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Indian River,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Indian River,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Indian River,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Jackson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Jackson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Jackson,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Jackson,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Jackson,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Jackson,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Jackson,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Jefferson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Jefferson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Jefferson,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Jefferson,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Jefferson,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Jefferson,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Jefferson,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Lafayette,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Lafayette,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Lafayette,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Lafayette,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Lafayette,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Lafayette,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Lafayette,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Lafayette,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Lafayette,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Lake,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Lake,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Lake,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Lake,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Lake,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Lake,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Lake,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Lake,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Lake,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Lake,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,029,0,4.0,,,,,,,,,,,,
Florida,Lake,Humana,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.80 ,$545.00 ,No,H1036,213,0,5.0,,,,,,,,,,,,
Florida,Lake,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Lake,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,300,0,5.0,,,,,,,,,,,,*
Florida,Lake,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,313,0,5.0,,,,,,,*,,,,,
Florida,Lake,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Lake,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Lake,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,4,4.5,,,,,,,,,,,,*
Florida,Lake,Devoted Health,Devoted DUAL North Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.50 ,$545.00 ,No,H1290,033,0,5.0,,,,,,,,,,,,
Florida,Lake,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Lake,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$27.90 ,$545.00 ,No,H1609,046,0,4.0,,,,,,,,,,,,
Florida,Lake,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Lake,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Lake,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Lake,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Lake,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,029,0,4.0,,,,,,,,,,,,*
Florida,Lake,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Lake,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Lake,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Lake,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$25.60 ,$545.00 ,No,H5410,025,0,4.5,,,,,,,,,,,,
Florida,Lake,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Lake,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Lake,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Lake,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Lake,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Lake,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Lake,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Lake,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Lake,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Lake,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Lake,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Lee,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Lee,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Lee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Lee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Lee,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Lee,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Lee,Humana,Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,285,0,5.0,,,,,,,,,,,,
Florida,Lee,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,310,0,5.0,,,,,,,*,,,,,
Florida,Lee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,311,0,5.0,,,,,,,,,,,,*
Florida,Lee,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Lee,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Lee,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,2,4.5,,,,,,,,,,,,*
Florida,Lee,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$21.30 ,$545.00 ,No,H1609,056,0,4.0,,,,,,,,,,,,
Florida,Lee,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Lee,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Lee,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Lee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,047,0,4.5,,,,,,,,,,,,
Florida,Lee,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,055,0,4.5,,,,,,,,,,,,
Florida,Lee,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Lee,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,Lee,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,083,0,4.5,,,,,,,*,,,,,
Florida,Lee,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Lee,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Lee,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Lee,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,034,0,5.0,,,,,,,,,,,,*
Florida,Lee,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,035,0,5.0,,,,,,,*,,,,,
Florida,Lee,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,001,0,Not enough data available,,,,,,,,,,,,
Florida,Lee,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,002,0,Not enough data available,,,*,,,,,,,,,
Florida,Lee,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,003,0,Not enough data available,,,,,*,,,,,,,
Florida,Lee,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,004,0,Not enough data available,,,,,,,,,,,,
Florida,Lee,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Lee,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Lee,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Lee,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Leon,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Leon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Leon,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Leon,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Leon,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Levy,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Levy,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Levy,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Levy,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Levy,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Levy,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Levy,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Levy,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Levy,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Levy,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Liberty,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Liberty,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Liberty,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Liberty,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Liberty,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Liberty,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Liberty,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Madison,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Madison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Madison,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Madison,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Madison,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Madison,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Madison,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Manatee,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Manatee,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Manatee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Manatee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Manatee,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Manatee,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Manatee,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Manatee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,160,0,5.0,,,,,,,,,,,,*
Florida,Manatee,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Manatee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Manatee,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Manatee,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Manatee,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Manatee,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,2,4.5,,,,,,,,,,,,*
Florida,Manatee,Devoted Health,Devoted DUAL Manatee (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$17.10 ,$545.00 ,No,H1290,034,0,5.0,,,,,,,,,,,,
Florida,Manatee,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Manatee,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Manatee,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Manatee,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Manatee,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Manatee,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.90 ,$545.00 ,No,H1609,047,0,4.0,,,,,,,,,,,,
Florida,Manatee,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Manatee,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Manatee,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Manatee,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Manatee,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Manatee,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Manatee,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,052,0,4.0,,,,,,,,,,,,*
Florida,Manatee,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Manatee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$26.60 ,$545.00 ,No,H5410,032,0,4.5,,,,,,,,,,,,
Florida,Manatee,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Manatee,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Manatee,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Manatee,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Manatee,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Manatee,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Manatee,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Manatee,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Manatee,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Manatee,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9943,003,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Manatee,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$545.00 ,No,H9943,004,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Manatee,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Marion,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Marion,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Marion,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Marion,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Marion,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Marion,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Marion,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Marion,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Marion,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Marion,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,031,0,4.0,,,,,,,,,,,,
Florida,Marion,Humana,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.80 ,$545.00 ,No,H1036,213,0,5.0,,,,,,,,,,,,
Florida,Marion,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Marion,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,300,0,5.0,,,,,,,,,,,,*
Florida,Marion,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,313,0,5.0,,,,,,,*,,,,,
Florida,Marion,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Marion,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Marion,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,4,4.5,,,,,,,,,,,,*
Florida,Marion,Devoted Health,Devoted DUAL North Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.50 ,$545.00 ,No,H1290,033,0,5.0,,,,,,,,,,,,
Florida,Marion,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Marion,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,Marion,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Marion,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Marion,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Marion,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Marion,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,029,0,4.0,,,,,,,,,,,,*
Florida,Marion,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Marion,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Marion,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Marion,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$25.60 ,$545.00 ,No,H5410,025,0,4.5,,,,,,,,,,,,
Florida,Marion,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Marion,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Marion,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Marion,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Marion,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Marion,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Marion,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Marion,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Marion,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Marion,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Marion,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Marion,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Marion,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Marion,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Martin,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Martin,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Martin,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Martin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Martin,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Martin,Humana,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,226,0,5.0,,,,,,,,,,,,
Florida,Martin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,292,0,5.0,,,,,,,,,,,,*
Florida,Martin,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,298,0,5.0,,,,,,,*,,,,,
Florida,Martin,Devoted Health,Devoted DUAL East Coast Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$16.10 ,$545.00 ,No,H1290,039,0,5.0,,,,,,,,,,,,
Florida,Martin,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Martin,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Martin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,047,0,4.5,,,,,,,,,,,,
Florida,Martin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,055,0,4.5,,,,,,,,,,,,
Florida,Martin,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Martin,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,Martin,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,083,0,4.5,,,,,,,*,,,,,
Florida,Martin,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Martin,"Freedom Health, Inc.",Freedom VIP Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,108,0,4.5,,,,,,,,,,,,*
Florida,Martin,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Martin,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Martin,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,034,0,5.0,,,,,,,,,,,,*
Florida,Martin,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,035,0,5.0,,,,,,,*,,,,,
Florida,Martin,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Martin,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Martin,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Martin,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Martin,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,Solis Health Plans,Solis Guardian Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H0982,002,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,Solis Health Plans,Solis Wellness Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0982,016,0,4.0,,,,,,,,,,,,*
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.20 ,$545.00 ,No,H1019,023,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,121,0,4.0,,,,,,,,,,,,*
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,123,0,4.0,,,,,,,*,,,,,
Florida,Miami-Dade,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,145,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.40 ,$545.00 ,No,H1032,170,0,3.5,,,,,,,,,,,,
Florida,Miami-Dade,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.40 ,$545.00 ,No,H1032,176,0,3.5,,,,,,,,,,,,
Florida,Miami-Dade,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H1032,206,0,3.5,,,,,,,,,,,,
Florida,Miami-Dade,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,027,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,Humana,Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,077,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,121,0,5.0,,,,,,,,,,,,*
Florida,Miami-Dade,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,297,0,5.0,,,,,,,*,,,,,
Florida,Miami-Dade,Humana,Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,304,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Preferred Dual Complete FL-D001 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,012,0,4.5,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Preferred Complete Care FL-0003 (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,018,0,4.5,,,,,,,,,,,,*
Florida,Miami-Dade,Devoted Health,Devoted DUAL PLUS Miami-Dade (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$11.60 ,$545.00 ,No,H1290,019,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,017,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$32.50 ,$545.00 ,No,H1609,043,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",DrPlus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$31.50 ,$545.00 ,No,H4140,002,0,3.5,,,,,,,,,,,,
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",DrExtraCare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4140,004,0,3.5,,,,,,,,,,,*,
Florida,Miami-Dade,"Doctors HealthCare Plans, Inc.",DrFlex (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$31.80 ,$545.00 ,No,H4140,013,0,3.5,,,,,,,,,,,,
Florida,Miami-Dade,"Leon Health, Inc.",Leon MediDual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$14.90 ,$545.00 ,No,H4286,002,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Nursing Home Plan EX-F006 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.00 ,$545.00 ,No,H5322,003,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,049,0,4.5,,,,,,,,,,,,
Florida,Miami-Dade,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,056,0,4.5,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5420,006,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC MedicareMax Complete Care FL-0030 (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5420,014,0,5.0,,,,,,,,,,,,*
Florida,Miami-Dade,"HealthSun Health Plans, Inc.",HealthSun MediSun Extra (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$19.80 ,$545.00 ,No,H5431,019,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,"HealthSun Health Plans, Inc.",HealthSun VitalCare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5431,021,0,5.0,,,,,,,,,,,,*
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5471,064,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,069,0,5.0,,,,,,,,,,,,*
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.60 ,$545.00 ,No,H5471,115,0,5.0,,,,,,,,,,,,
Florida,Miami-Dade,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,116,0,5.0,,,,,,,,,,,,*
Florida,Miami-Dade,AmeriHealth Caritas VIP Care (HMO-D-SNP),AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H6378,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Miami-Dade,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Miami-Dade,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,001,0,Not enough data available,,,,,,,,,,,,
Florida,Miami-Dade,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,002,0,Not enough data available,,,*,,,,,,,,,
Florida,Miami-Dade,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,004,0,Not enough data available,,,,,,,,,,,,
Florida,Miami-Dade,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Miami-Dade,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Miami-Dade,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Miami-Dade,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Monroe,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Nassau,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Nassau,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Nassau,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Nassau,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Nassau,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Nassau,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Nassau,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Nassau,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Nassau,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Nassau,Devoted Health,Devoted DUAL Jacksonville (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.10 ,$545.00 ,No,H1290,023,0,5.0,,,,,,,,,,,,
Florida,Nassau,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Nassau,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,Nassau,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Nassau,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Nassau,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Nassau,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Nassau,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Okaloosa,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Florida,Okaloosa,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Okaloosa,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Okaloosa,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Okaloosa,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Okaloosa,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,050,0,4.0,,,,,,,,,,,,
Florida,Okaloosa,Humana,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,214,0,5.0,,,,,,,,,,,,
Florida,Okaloosa,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Okaloosa,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Okaloosa,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Okaloosa,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Okaloosa,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Okaloosa,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H5410,013,0,4.5,,,,,,,,,,,,
Florida,Okaloosa,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$29.80 ,$545.00 ,No,H5410,042,0,4.5,,,,,,,,,,,,
Florida,Okaloosa,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Okeechobee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Okeechobee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Okeechobee,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Okeechobee,Humana,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,226,0,5.0,,,,,,,,,,,,
Florida,Okeechobee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,292,0,5.0,,,,,,,,,,,,*
Florida,Okeechobee,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,298,0,5.0,,,,,,,*,,,,,
Florida,Okeechobee,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Okeechobee,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Okeechobee,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Orange,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Orange,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Orange,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Orange,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Orange,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Orange,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Orange,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Orange,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Orange,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Orange,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,029,0,4.0,,,,,,,,,,,,
Florida,Orange,Humana,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.80 ,$545.00 ,No,H1036,213,0,5.0,,,,,,,,,,,,
Florida,Orange,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Orange,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,300,0,5.0,,,,,,,,,,,,*
Florida,Orange,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,313,0,5.0,,,,,,,*,,,,,
Florida,Orange,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Orange,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Orange,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,1,4.5,,,,,,,,,,,,*
Florida,Orange,Devoted Health,Devoted DUAL Orlando (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$16.60 ,$545.00 ,No,H1290,022,0,5.0,,,,,,,,,,,,
Florida,Orange,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Orange,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$27.90 ,$545.00 ,No,H1609,046,0,4.0,,,,,,,,,,,,
Florida,Orange,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Orange,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Orange,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Orange,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Orange,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Orange,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,050,0,4.0,,,,,,,,,,,,*
Florida,Orange,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Orange,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$25.60 ,$545.00 ,No,H5410,025,0,4.5,,,,,,,,,,,,
Florida,Orange,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Orange,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Orange,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Orange,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Orange,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Orange,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Orange,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Orange,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$34.40 ,$545.00 ,No,H5471,072,0,5.0,,,,,,,,,,,,
Florida,Orange,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,073,0,5.0,,,,,,,,,,,,*
Florida,Orange,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,121,0,5.0,,,,,,,,,,,,
Florida,Orange,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,122,0,5.0,,,,,,,,,,,,*
Florida,Orange,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Orange,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Orange,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Orange,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Orange,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,001,0,Not enough data available,,,,,,,,,,,,
Florida,Orange,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,002,0,Not enough data available,,,*,,,,,,,,,
Florida,Orange,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,003,0,Not enough data available,,,,,*,,,,,,,
Florida,Orange,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,004,0,Not enough data available,,,,,,,,,,,,
Florida,Orange,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Orange,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Orange,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Orange,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Osceola,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Osceola,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Osceola,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Osceola,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Osceola,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Osceola,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Osceola,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Osceola,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Osceola,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Osceola,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,029,0,4.0,,,,,,,,,,,,
Florida,Osceola,Humana,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.80 ,$545.00 ,No,H1036,213,0,5.0,,,,,,,,,,,,
Florida,Osceola,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Osceola,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,300,0,5.0,,,,,,,,,,,,*
Florida,Osceola,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,313,0,5.0,,,,,,,*,,,,,
Florida,Osceola,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Osceola,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Osceola,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,1,4.5,,,,,,,,,,,,*
Florida,Osceola,Devoted Health,Devoted DUAL Orlando (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$16.60 ,$545.00 ,No,H1290,022,0,5.0,,,,,,,,,,,,
Florida,Osceola,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Osceola,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$27.90 ,$545.00 ,No,H1609,046,0,4.0,,,,,,,,,,,,
Florida,Osceola,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Osceola,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Osceola,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Osceola,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Osceola,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Osceola,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,050,0,4.0,,,,,,,,,,,,*
Florida,Osceola,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Osceola,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$25.60 ,$545.00 ,No,H5410,025,0,4.5,,,,,,,,,,,,
Florida,Osceola,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Osceola,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Osceola,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Osceola,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Osceola,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Osceola,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Osceola,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Osceola,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$34.40 ,$545.00 ,No,H5471,072,0,5.0,,,,,,,,,,,,
Florida,Osceola,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,073,0,5.0,,,,,,,,,,,,*
Florida,Osceola,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,121,0,5.0,,,,,,,,,,,,
Florida,Osceola,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,122,0,5.0,,,,,,,,,,,,*
Florida,Osceola,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Osceola,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Osceola,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Osceola,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Osceola,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Osceola,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Osceola,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Osceola,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,Solis Health Plans,Solis Guardian Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H0982,013,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,Solis Health Plans,Solis Wellness Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0982,018,0,4.0,,,,,,,,,,,,*
Florida,Palm Beach,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.20 ,$545.00 ,No,H1019,023,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,124,0,4.0,,,,,,,*,,,,,
Florida,Palm Beach,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,130,0,4.0,,,,,,,,,,,,*
Florida,Palm Beach,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,145,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Palm Beach,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Palm Beach,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Palm Beach,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,028,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,Humana,Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,077,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,121,0,5.0,,,,,,,,,,,,*
Florida,Palm Beach,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,297,0,5.0,,,,,,,*,,,,,
Florida,Palm Beach,Humana,Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,304,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,UnitedHealthcare,UHC Preferred Dual Complete FL-D01P (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,038,0,4.5,,,,,,,,,,,,
Florida,Palm Beach,Devoted Health,Devoted DUAL PLUS Palm Beach (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$21.00 ,$545.00 ,No,H1290,021,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Palm Beach,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Palm Beach,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Palm Beach,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Palm Beach,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,019,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,048,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Palm Beach,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Palm Beach,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,049,0,4.5,,,,,,,,,,,,
Florida,Palm Beach,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,056,0,4.5,,,,,,,,,,,,
Florida,Palm Beach,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Palm Beach,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Palm Beach,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Palm Beach,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Palm Beach,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Palm Beach,"HealthSun Health Plans, Inc.",HealthSun MediSun Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$10.90 ,$545.00 ,No,H5431,016,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,"HealthSun Health Plans, Inc.",HealthSun VitalCare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5431,022,0,5.0,,,,,,,,,,,,*
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,084,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,085,0,5.0,,,,,,,,,,,,*
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,125,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,126,0,5.0,,,,,,,,,,,,*
Florida,Palm Beach,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Palm Beach,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$30.60 ,$545.00 ,No,H5945,009,0,3.5,,,,,,,,,,,,
Florida,Palm Beach,AmeriHealth Caritas VIP Care (HMO-D-SNP),AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H6378,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Palm Beach,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,Palm Beach,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Palm Beach,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Palm Beach,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Palm Beach,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Pasco,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Pasco,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Pasco,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Pasco,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Pasco,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Pasco,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Pasco,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Pasco,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Pasco,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Pasco,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Pasco,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Pasco,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,160,0,5.0,,,,,,,,,,,,*
Florida,Pasco,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Pasco,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Pasco,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Pasco,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Pasco,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Pasco,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Pasco,Devoted Health,Devoted DUAL Tampa (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.00 ,$545.00 ,No,H1290,024,0,5.0,,,,,,,,,,,,
Florida,Pasco,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Pasco,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Pasco,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Pasco,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Pasco,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Pasco,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,019,0,4.0,,,,,,,,,,,,
Florida,Pasco,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,044,0,4.0,,,,,,,,,,,,
Florida,Pasco,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Pasco,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Pasco,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,021,0,4.0,,,,,,,,,,*,,
Florida,Pasco,Ultimate Health Plans,Advantage Care CHF by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,022,0,4.0,,*,,,,,,,,,,
Florida,Pasco,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,025,0,4.0,,,,,,,*,,,,,
Florida,Pasco,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Pasco,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Pasco,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Pasco,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$26.60 ,$545.00 ,No,H5410,032,0,4.5,,,,,,,,,,,,
Florida,Pasco,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Pasco,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Pasco,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Pasco,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Pasco,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Pasco,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Pasco,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Pasco,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,075,0,5.0,,,,,,,,,,,,*
Florida,Pasco,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$29.90 ,$545.00 ,No,H5471,082,0,5.0,,,,,,,,,,,,
Florida,Pasco,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.30 ,$545.00 ,No,H5471,118,0,5.0,,,,,,,,,,,,
Florida,Pasco,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,119,0,5.0,,,,,,,,,,,,*
Florida,Pasco,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Pasco,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Pasco,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,028,0,5.0,,,,,,,,,,,,*
Florida,Pasco,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,029,0,5.0,,,,,,,*,,,,,
Florida,Pasco,"Optimum HealthCare, Inc.",Optimum Diamond (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,036,0,5.0,,,,,,,,,,,,*
Florida,Pasco,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Pasco,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Pasco,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Pasco,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Pinellas,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Pinellas,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Pinellas,Solis Health Plans,Solis Wellness Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0982,019,0,4.0,,,,,,,,,,,,*
Florida,Pinellas,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Pinellas,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Pinellas,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Pinellas,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Pinellas,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Pinellas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Pinellas,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Pinellas,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Pinellas,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Pinellas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,160,0,5.0,,,,,,,,,,,,*
Florida,Pinellas,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Pinellas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Pinellas,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Pinellas,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Pinellas,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Pinellas,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Pinellas,Devoted Health,Devoted DUAL Tampa (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.00 ,$545.00 ,No,H1290,024,0,5.0,,,,,,,,,,,,
Florida,Pinellas,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Pinellas,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Pinellas,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Pinellas,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Pinellas,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Pinellas,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,019,0,4.0,,,,,,,,,,,,
Florida,Pinellas,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,044,0,4.0,,,,,,,,,,,,
Florida,Pinellas,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Pinellas,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Pinellas,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,025,0,4.0,,,,,,,*,,,,,
Florida,Pinellas,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,026,0,4.0,,,,,,,,,,,,*
Florida,Pinellas,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Pinellas,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Pinellas,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Pinellas,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$26.60 ,$545.00 ,No,H5410,032,0,4.5,,,,,,,,,,,,
Florida,Pinellas,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Pinellas,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Pinellas,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Pinellas,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Pinellas,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Pinellas,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,075,0,5.0,,,,,,,,,,,,*
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$29.90 ,$545.00 ,No,H5471,082,0,5.0,,,,,,,,,,,,
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.30 ,$545.00 ,No,H5471,118,0,5.0,,,,,,,,,,,,
Florida,Pinellas,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,119,0,5.0,,,,,,,,,,,,*
Florida,Pinellas,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Pinellas,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Pinellas,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,028,0,5.0,,,,,,,,,,,,*
Florida,Pinellas,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,029,0,5.0,,,,,,,*,,,,,
Florida,Pinellas,"Optimum HealthCare, Inc.",Optimum Diamond (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,036,0,5.0,,,,,,,,,,,,*
Florida,Pinellas,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,001,0,Not enough data available,,,,,,,,,,,,
Florida,Pinellas,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,002,0,Not enough data available,,,*,,,,,,,,,
Florida,Pinellas,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,003,0,Not enough data available,,,,,*,,,,,,,
Florida,Pinellas,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,004,0,Not enough data available,,,,,,,,,,,,
Florida,Pinellas,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Pinellas,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Pinellas,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Pinellas,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Polk,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Polk,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Polk,Solis Health Plans,Solis Wellness Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0982,021,0,4.0,,,,,,,,,,,,*
Florida,Polk,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Polk,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Polk,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Polk,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Polk,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Polk,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Polk,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Polk,Florida Blue HMO,BlueMedicare Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,030,0,4.0,,,,,,,,,,,,
Florida,Polk,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Polk,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Polk,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Polk,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Polk,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Polk,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Polk,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,3,4.5,,,,,,,,,,,,*
Florida,Polk,Devoted Health,Devoted DUAL Tampa (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.00 ,$545.00 ,No,H1290,024,0,5.0,,,,,,,,,,,,
Florida,Polk,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Polk,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,019,0,4.0,,,,,,,,,,,,
Florida,Polk,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,049,0,4.0,,,,,,,,,,,,
Florida,Polk,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Polk,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Polk,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Polk,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Polk,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Polk,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Polk,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,051,0,4.0,,,,,,,,,,,,*
Florida,Polk,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Polk,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$25.60 ,$545.00 ,No,H5410,025,0,4.5,,,,,,,,,,,,
Florida,Polk,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Polk,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Polk,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Polk,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Polk,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Polk,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Polk,"Freedom Health, Inc.",Freedom VIP Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,099,0,4.5,,,,,,,,,,,,*
Florida,Polk,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$14.00 ,$545.00 ,No,H5471,066,0,5.0,,,,,,,,,,,,
Florida,Polk,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Polk,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,070,0,5.0,,,,,,,,,,,,*
Florida,Polk,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.30 ,$545.00 ,No,H5471,118,0,5.0,,,,,,,,,,,,
Florida,Polk,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,119,0,5.0,,,,,,,,,,,,*
Florida,Polk,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Polk,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Polk,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Polk,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Polk,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Polk,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Polk,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Polk,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Putnam,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Putnam,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Putnam,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Putnam,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,Putnam,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Putnam,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Putnam,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Putnam,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,Putnam,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Putnam,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Putnam,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Putnam,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Putnam,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Santa Rosa,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Florida,Santa Rosa,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Santa Rosa,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Santa Rosa,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Santa Rosa,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Santa Rosa,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,050,0,4.0,,,,,,,,,,,,
Florida,Santa Rosa,Humana,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,214,0,5.0,,,,,,,,,,,,
Florida,Santa Rosa,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Santa Rosa,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Santa Rosa,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Santa Rosa,Devoted Health,Devoted DUAL PLUS Northwest Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.60 ,$545.00 ,No,H1290,042,0,5.0,,,,,,,,,,,,
Florida,Santa Rosa,Devoted Health,Devoted DUAL Northwest Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.30 ,$545.00 ,No,H1290,043,0,5.0,,,,,,,,,,,,
Florida,Santa Rosa,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$34.90 ,$545.00 ,No,H1609,064,0,4.0,,,,,,,,,,,,
Florida,Santa Rosa,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Santa Rosa,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Santa Rosa,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H5410,013,0,4.5,,,,,,,,,,,,
Florida,Santa Rosa,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$29.80 ,$545.00 ,No,H5410,042,0,4.5,,,,,,,,,,,,
Florida,Santa Rosa,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Santa Rosa,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Santa Rosa,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Santa Rosa,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Sarasota,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Sarasota,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Sarasota,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Sarasota,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Sarasota,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Sarasota,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,032,0,4.0,,,,,,,,,,,,
Florida,Sarasota,Humana,Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$31.30 ,$545.00 ,No,H1036,102,0,5.0,,,,,,,,,,,,
Florida,Sarasota,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,160,0,5.0,,,,,,,,,,,,*
Florida,Sarasota,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Sarasota,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,299,0,5.0,,,,,,,,,,,,*
Florida,Sarasota,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,312,0,5.0,,,,,,,*,,,,,
Florida,Sarasota,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Sarasota,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Sarasota,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,2,4.5,,,,,,,,,,,,*
Florida,Sarasota,Gold Kidney Health Plan,Super Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,001,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Sarasota,Gold Kidney Health Plan,Super Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H1526,002,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Sarasota,Gold Kidney Health Plan,Dialysis Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1526,003,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Sarasota,Gold Kidney Health Plan,Dialysis Complete (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$36.30 ,$545.00 ,No,H1526,004,0,Plan too new to be measured,,,,,*,,,,,,,
Florida,Sarasota,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.90 ,$545.00 ,No,H1609,047,0,4.0,,,,,,,,,,,,
Florida,Sarasota,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Sarasota,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,2,4.5,,,,,,,,,,,,
Florida,Sarasota,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Sarasota,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Sarasota,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Sarasota,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,052,0,4.0,,,,,,,,,,,,*
Florida,Sarasota,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Sarasota,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$26.60 ,$545.00 ,No,H5410,032,0,4.5,,,,,,,,,,,,
Florida,Sarasota,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Sarasota,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Sarasota,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Sarasota,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Sarasota,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Sarasota,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Sarasota,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Sarasota,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Sarasota,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Sarasota,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9943,003,0,Plan too new to be measured,,,,,,,,,,,,*
Florida,Sarasota,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$545.00 ,No,H9943,004,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Sarasota,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Sarasota,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Sarasota,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Sarasota,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Seminole,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Seminole,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Seminole,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Seminole,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Seminole,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Seminole,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Seminole,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Seminole,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Seminole,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Seminole,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,029,0,4.0,,,,,,,,,,,,
Florida,Seminole,Humana,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.80 ,$545.00 ,No,H1036,213,0,5.0,,,,,,,,,,,,
Florida,Seminole,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Seminole,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,300,0,5.0,,,,,,,,,,,,*
Florida,Seminole,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,313,0,5.0,,,,,,,*,,,,,
Florida,Seminole,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Seminole,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Seminole,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,1,4.5,,,,,,,,,,,,*
Florida,Seminole,Devoted Health,Devoted DUAL Orlando (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$16.60 ,$545.00 ,No,H1290,022,0,5.0,,,,,,,,,,,,
Florida,Seminole,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Seminole,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$27.90 ,$545.00 ,No,H1609,046,0,4.0,,,,,,,,,,,,
Florida,Seminole,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Seminole,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Seminole,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Seminole,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Seminole,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Seminole,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,050,0,4.0,,,,,,,,,,,,*
Florida,Seminole,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Seminole,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$25.60 ,$545.00 ,No,H5410,025,0,4.5,,,,,,,,,,,,
Florida,Seminole,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Seminole,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Seminole,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Seminole,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Seminole,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Seminole,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Seminole,"Simply Healthcare Plans, Inc.",Simply Comfort (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,Yes,H5471,068,0,5.0,,,,,,,,,,,,
Florida,Seminole,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$34.40 ,$545.00 ,No,H5471,072,0,5.0,,,,,,,,,,,,
Florida,Seminole,"Simply Healthcare Plans, Inc.",Simply Level (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,073,0,5.0,,,,,,,,,,,,*
Florida,Seminole,"Simply Healthcare Plans, Inc.",Simply Complete Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,121,0,5.0,,,,,,,,,,,,
Florida,Seminole,"Simply Healthcare Plans, Inc.",Simply Level Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5471,122,0,5.0,,,,,,,,,,,,*
Florida,Seminole,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Seminole,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Seminole,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Seminole,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Seminole,American Health Advantage of Florida,American Health Advantage of Florida (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H6652,001,0,Not enough data available,,,,,,,,,,,,
Florida,Seminole,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Seminole,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Seminole,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Seminole,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,St. Johns,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,St. Johns,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H1019,073,0,4.0,,,,,,,,,,,,
Florida,St. Johns,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,109,0,4.0,,,,,,,,,,,,*
Florida,St. Johns,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,118,0,4.0,,,,,,,*,,,,,
Florida,St. Johns,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,St. Johns,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,St. Johns,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,St. Johns,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,St. Johns,Humana,Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.10 ,$545.00 ,No,H1036,210,0,5.0,,,,,,,,,,,,
Florida,St. Johns,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,St. Johns,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,St. Johns,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,St. Johns,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,St. Johns,Devoted Health,Devoted DUAL Jacksonville (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$21.10 ,$545.00 ,No,H1290,023,0,5.0,,,,,,,,,,,,
Florida,St. Johns,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,St. Johns,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,St. Johns,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,St. Johns,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,St. Johns,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,St. Johns,"Simply Healthcare Plans, Inc.",Simply Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H5471,111,0,5.0,,,,,,,,,,,,
Florida,St. Johns,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,St. Lucie,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,St. Lucie,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,St. Lucie,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,St. Lucie,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,St. Lucie,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,St. Lucie,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,028,0,4.0,,,,,,,,,,,,
Florida,St. Lucie,Humana,Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,226,0,5.0,,,,,,,,,,,,
Florida,St. Lucie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,292,0,5.0,,,,,,,,,,,,*
Florida,St. Lucie,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1036,298,0,5.0,,,,,,,*,,,,,
Florida,St. Lucie,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,St. Lucie,Devoted Health,Devoted DUAL East Coast Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$16.10 ,$545.00 ,No,H1290,039,0,5.0,,,,,,,,,,,,
Florida,St. Lucie,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,St. Lucie,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1609,019,0,4.0,,,,,,,,,,,,
Florida,St. Lucie,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$26.40 ,$545.00 ,No,H1609,045,0,4.0,,,,,,,,,,,,
Florida,St. Lucie,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,St. Lucie,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,St. Lucie,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,033,0,4.0,,,,,,,,,,,,*
Florida,St. Lucie,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,St. Lucie,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,St. Lucie,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.60 ,$545.00 ,No,H5410,047,0,4.5,,,,,,,,,,,,
Florida,St. Lucie,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.60 ,$545.00 ,No,H5410,055,0,4.5,,,,,,,,,,,,
Florida,St. Lucie,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,St. Lucie,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,082,0,4.5,,,,,,,,,,,,*
Florida,St. Lucie,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,083,0,4.5,,,,,,,*,,,,,
Florida,St. Lucie,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,St. Lucie,"Freedom Health, Inc.",Freedom VIP Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,108,0,4.5,,,,,,,,,,,,*
Florida,St. Lucie,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,St. Lucie,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,St. Lucie,"Optimum HealthCare, Inc.",Optimum Diamond Rewards (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,034,0,5.0,,,,,,,,,,,,*
Florida,St. Lucie,"Optimum HealthCare, Inc.",Optimum Diamond Rewards COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H5594,035,0,5.0,,,,,,,*,,,,,
Florida,St. Lucie,Humana,HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H7284,010,0,4.0,,,,,,,,,,,,
Florida,St. Lucie,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,St. Lucie,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,St. Lucie,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,St. Lucie,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Sumter,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Sumter,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.20 ,$545.00 ,No,H1019,026,0,4.0,,,,,,,,,,,,
Florida,Sumter,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,122,0,4.0,,,,,,,,,,,,*
Florida,Sumter,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,125,0,4.0,,,,,,,*,,,,,
Florida,Sumter,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Sumter,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Sumter,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Sumter,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Sumter,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,029,0,4.0,,,,,,,,,,,,
Florida,Sumter,Humana,Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.80 ,$545.00 ,No,H1036,213,0,5.0,,,,,,,,,,,,
Florida,Sumter,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Sumter,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,300,0,5.0,,,,,,,,,,,,*
Florida,Sumter,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,313,0,5.0,,,,,,,*,,,,,
Florida,Sumter,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Sumter,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Sumter,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,4,4.5,,,,,,,,,,,,*
Florida,Sumter,Devoted Health,Devoted DUAL North Florida (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$19.50 ,$545.00 ,No,H1290,033,0,5.0,,,,,,,,,,,,
Florida,Sumter,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Sumter,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$27.90 ,$545.00 ,No,H1609,046,0,4.0,,,,,,,,,,,,
Florida,Sumter,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Sumter,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Sumter,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Sumter,Ultimate Health Plans,Advantage Care COPD by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,023,0,4.0,,,,,,,*,,,,,
Florida,Sumter,Ultimate Health Plans,Advantage Care by Ultimate (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2962,029,0,4.0,,,,,,,,,,,,*
Florida,Sumter,Ultimate Health Plans,Advantage Plus by Ultimate (Full) (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$29.30 ,$545.00 ,No,H2962,035,0,4.0,,,,,,,,,,,,
Florida,Sumter,Ultimate Health Plans,Advantage Plus by Ultimate (Partial) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.60 ,$545.00 ,No,H2962,036,0,4.0,,,,,,,,,,,,
Florida,Sumter,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Sumter,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$25.60 ,$545.00 ,No,H5410,025,0,4.5,,,,,,,,,,,,
Florida,Sumter,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,046,0,4.5,,,,,,,,,,,,
Florida,Sumter,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Sumter,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Sumter,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Sumter,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Sumter,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Sumter,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Sumter,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Sumter,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Sumter,"Optimum HealthCare, Inc.",Optimum Diamond Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,031,0,5.0,,,,,,,*,,,,,
Florida,Sumter,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,001,0,Not enough data available,,,,,,,,,,,,
Florida,Sumter,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,002,0,Not enough data available,,,*,,,,,,,,,
Florida,Sumter,Align Senior Care,Align Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$37.70 ,$545.00 ,No,H9917,003,0,Not enough data available,,,,,*,,,,,,,
Florida,Sumter,Align Senior Care,Premier Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$400.00 ,No,H9917,004,0,Not enough data available,,,,,,,,,,,,
Florida,Sumter,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Suwannee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Suwannee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Suwannee,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Suwannee,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Suwannee,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Suwannee,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Suwannee,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Suwannee,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Suwannee,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Taylor,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Taylor,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Taylor,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Taylor,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Taylor,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Taylor,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Taylor,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Union,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Union,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Union,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Union,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Union,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Union,UnitedHealthcare,UHC Dual Complete FL-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H2509,002,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Union,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Union,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Union,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Volusia,UnitedHealthcare,UHC Nursing Home Plan FL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.40 ,$545.00 ,No,H0710,010,0,5.0,,,,,,,,,,,,
Florida,Volusia,UnitedHealthcare,UHC Care Advantage FL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$37.70 ,$0.00 ,No,H0710,012,0,5.0,,,,,,,,,,,,
Florida,Volusia,"CarePlus Health Plans, Inc.",CareNeeds Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H1019,073,0,4.0,,,,,,,,,,,,
Florida,Volusia,"CarePlus Health Plans, Inc.",CareComplete Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,108,0,4.0,,,,,,,,,,,,*
Florida,Volusia,"CarePlus Health Plans, Inc.",CareBreeze Platinum (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1019,117,0,4.0,,,,,,,*,,,,,
Florida,Volusia,"CarePlus Health Plans, Inc.",CareNeeds Platinum (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.50 ,$545.00 ,No,H1019,146,0,4.0,,,,,,,,,,,,
Florida,Volusia,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Volusia,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Volusia,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Volusia,Humana,Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.40 ,$545.00 ,No,H1036,209,0,5.0,,,,,,,,,,,,
Florida,Volusia,Humana,Humana Fully Integrated H1036-280 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$29.60 ,$545.00 ,No,H1036,280,0,5.0,,,,,,,,,,,,
Florida,Volusia,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,301,0,5.0,,,,,,,,,,,,*
Florida,Volusia,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Volusia,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,315,0,5.0,,,,,,,*,,,,,
Florida,Volusia,UnitedHealthcare,UHC Dual Complete FL-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1045,039,0,4.5,,,,,,,,,,,,
Florida,Volusia,UnitedHealthcare,UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1045,048,1,4.5,,,,,,,,,,,,*
Florida,Volusia,Devoted Health,Devoted DUAL Daytona (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$17.00 ,$545.00 ,No,H1290,041,0,5.0,,,,,,,,,,,,
Florida,Volusia,Devoted Health,Devoted DUAL PLUS Florida (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.20 ,$545.00 ,No,H1290,052,0,5.0,,,,,,,,,,,,
Florida,Volusia,Aetna Medicare,Aetna Medicare Assure Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$33.40 ,$545.00 ,No,H1609,055,0,4.0,,,,,,,,,,,,
Florida,Volusia,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H1644,001,0,3.0,,,,,,,,,,,,
Florida,Volusia,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Volusia,UnitedHealthcare,UHC Dual Complete FL-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H2509,001,0,Plan too new to be measured,,,,,,,,,,,,
Florida,Volusia,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Volusia,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$27.10 ,$545.00 ,No,H5410,031,0,4.5,,,,,,,,,,,,
Florida,Volusia,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5410,045,0,4.5,,,,,,,,,,,,
Florida,Volusia,"Freedom Health, Inc.",Freedom VIP Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,070,0,4.5,,,,,,,,,,,,*
Florida,Volusia,"Freedom Health, Inc.",Freedom VIP Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,072,0,4.5,,,,,,,,,,,,*
Florida,Volusia,"Freedom Health, Inc.",Freedom VIP Savings COPD (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5427,077,0,4.5,,,,,,,*,,,,,
Florida,Volusia,"Freedom Health, Inc.",Freedom Medi-Medi Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.90 ,$545.00 ,No,H5427,078,0,4.5,,,,,,,,,,,,
Florida,Volusia,"Freedom Health, Inc.",Freedom Medi-Medi Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$16.80 ,$545.00 ,No,H5427,087,0,4.5,,,,,,,,,,,,
Florida,Volusia,"Optimum HealthCare, Inc.",Optimum Emerald Partial (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.40 ,$545.00 ,No,H5594,016,0,5.0,,,,,,,,,,,,
Florida,Volusia,"Optimum HealthCare, Inc.",Optimum Emerald Full (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$25.30 ,$545.00 ,No,H5594,017,0,5.0,,,,,,,,,,,,
Florida,Volusia,"Optimum HealthCare, Inc.",Optimum Diamond Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5594,030,0,5.0,,,,,,,,,,,,*
Florida,Volusia,American Health Advantage of Florida,American Health Advantage of Florida (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H6652,001,0,Not enough data available,,,,,,,,,,,,
Florida,Volusia,Florida Complete Care,Florida Complete Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,001,0,Not enough data available,,,,,,,,,,,,
Florida,Volusia,Florida Complete Care,Florida Complete Care- In The Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$37.70 ,$545.00 ,No,H9986,002,0,Not enough data available,,,,,,,,,,,,
Florida,Volusia,Florida Complete Care,Florida Complete Care- D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H9986,003,0,Not enough data available,,,,,,,,,,,,
Florida,Volusia,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Wakulla,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Wakulla,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Wakulla,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Wakulla,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Wakulla,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Wakulla,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Wakulla,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Walton,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Walton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Walton,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Walton,Florida Blue HMO,BlueMedicare Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$37.70 ,$545.00 ,No,H1035,050,0,4.0,,,,,,,,,,,,
Florida,Walton,Humana,Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1036,214,0,5.0,,,,,,,,,,,,
Florida,Walton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,302,0,5.0,,,,,,,,,,,,*
Florida,Walton,Humana,Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$32.70 ,$545.00 ,No,H1036,314,0,5.0,,,,,,,,,,,,
Florida,Walton,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,316,0,5.0,,,,,,,*,,,,,
Florida,Walton,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Walton,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Walton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H5410,013,0,4.5,,,,,,,,,,,,
Florida,Walton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$29.80 ,$545.00 ,No,H5410,042,0,4.5,,,,,,,,,,,,
Florida,Walton,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Florida,Washington,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$34.10 ,$545.00 ,No,H1032,124,0,3.5,,,,,,,,,,,,
Florida,Washington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$37.60 ,$545.00 ,No,H1032,175,0,3.5,,,,,,,,,,,,
Florida,Washington,Wellcare,Wellcare Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H1032,202,0,3.5,,,,,,,,,,,,
Florida,Washington,UnitedHealthcare,UHC Dual Complete FL-D003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H1889,002,1,4.5,,,,,,,,,,,,
Florida,Washington,Humana,HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H5216,394,0,4.5,,,,,,,,,,,,
Florida,Washington,Humana,HumanaChoice SNP-DE H7284-003 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,Yes,Basic,DS,$37.70 ,$545.00 ,No,H7284,003,0,4.0,,,,,,,,,,,,
Florida,Washington,UnitedHealthcare,UHC Dual Complete FL-D005 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,R0759,003,0,4.0,,,,,,,,,,,,
Georgia,Appling,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Appling,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Appling,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Appling,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Appling,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Appling,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Appling,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Appling,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Appling,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Appling,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Appling,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Appling,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Appling,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Appling,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Appling,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Appling,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Appling,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Appling,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Appling,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Appling,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Appling,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Appling,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Atkinson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Atkinson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Atkinson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Atkinson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Atkinson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Atkinson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Atkinson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Atkinson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Atkinson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Atkinson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Atkinson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Atkinson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Atkinson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Atkinson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Atkinson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Atkinson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Bacon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Bacon,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Bacon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Bacon,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Bacon,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bacon,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bacon,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Bacon,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Bacon,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Bacon,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Bacon,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Bacon,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Bacon,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Bacon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Bacon,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Bacon,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Bacon,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Bacon,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Baker,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Baker,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Baker,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Baker,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Baker,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Baker,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Baker,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Baker,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Baker,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Baker,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Baker,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Baker,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Baker,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Baker,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Baker,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Baker,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Baker,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Baker,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Baker,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Baker,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Baker,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Baker,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Baker,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Baker,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Baker,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Baldwin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Baldwin,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Baldwin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Baldwin,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Baldwin,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Baldwin,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Baldwin,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Baldwin,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Baldwin,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Baldwin,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Baldwin,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Baldwin,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Baldwin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Baldwin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Baldwin,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Baldwin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Baldwin,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Baldwin,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Baldwin,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Baldwin,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Baldwin,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Baldwin,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Baldwin,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Banks,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Banks,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Banks,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Banks,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Banks,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Banks,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Banks,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Banks,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Banks,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Banks,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Banks,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Banks,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Banks,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Banks,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Banks,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Banks,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Banks,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Banks,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Banks,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Banks,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Banks,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Banks,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Banks,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Banks,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Banks,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Banks,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Banks,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Banks,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Banks,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Banks,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Barrow,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Barrow,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Barrow,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Barrow,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Barrow,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Barrow,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Barrow,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.10 ,$545.00 ,No,H1170,011,0,3.5,,,,,,,,,,,,
Georgia,Barrow,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Barrow,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Barrow,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Barrow,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Barrow,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Barrow,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Barrow,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Barrow,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Barrow,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Barrow,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Barrow,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Barrow,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Barrow,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Barrow,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Barrow,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Barrow,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Barrow,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Barrow,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Barrow,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Barrow,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Barrow,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Barrow,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Barrow,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Bartow,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Bartow,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Bartow,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Bartow,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Bartow,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Bartow,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Bartow,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Bartow,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bartow,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bartow,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Bartow,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Bartow,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Bartow,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Bartow,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Bartow,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Bartow,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Bartow,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Bartow,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Bartow,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Bartow,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Bartow,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Bartow,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Bartow,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Bartow,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Bartow,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Ben Hill,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Ben Hill,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Ben Hill,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Ben Hill,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Ben Hill,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Ben Hill,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Ben Hill,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Ben Hill,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Ben Hill,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Ben Hill,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Ben Hill,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Ben Hill,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Ben Hill,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Ben Hill,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Ben Hill,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Ben Hill,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Ben Hill,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Ben Hill,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Ben Hill,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Ben Hill,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Berrien,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Berrien,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Berrien,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Berrien,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Berrien,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Berrien,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Berrien,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Berrien,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Berrien,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Berrien,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Berrien,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Berrien,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Berrien,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Berrien,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Berrien,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Berrien,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Berrien,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Berrien,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Berrien,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Bibb,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Bibb,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Bibb,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Bibb,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Bibb,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bibb,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bibb,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Bibb,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Bibb,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Bibb,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Bibb,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Bibb,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Bibb,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Bibb,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Bibb,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Bibb,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Bibb,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Bibb,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Bibb,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Bibb,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Bibb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Bibb,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Bibb,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Bibb,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Bibb,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Bibb,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Bibb,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Bibb,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Bleckley,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Bleckley,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Bleckley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Bleckley,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Bleckley,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bleckley,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bleckley,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Bleckley,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Bleckley,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Bleckley,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Bleckley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Bleckley,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Bleckley,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Bleckley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Bleckley,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Bleckley,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Bleckley,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Bleckley,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Bleckley,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Bleckley,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Brantley,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Brantley,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Brantley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Brantley,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Brantley,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Brantley,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Brantley,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Brantley,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Brantley,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Brantley,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Brantley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Brantley,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Brantley,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Brantley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Brantley,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Brantley,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Brantley,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Brantley,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Brooks,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Brooks,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Brooks,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Brooks,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Brooks,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Brooks,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Brooks,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Brooks,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Brooks,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Brooks,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Brooks,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Brooks,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Brooks,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Brooks,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Brooks,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Brooks,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Brooks,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Bryan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Bryan,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Bryan,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Bryan,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Bryan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Bryan,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Bryan,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bryan,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Bryan,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Bryan,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Bryan,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Bryan,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Bryan,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Bryan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Bryan,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Bryan,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Bryan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Bryan,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Bryan,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Bryan,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Bryan,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Bryan,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Bryan,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Bulloch,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Bulloch,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Bulloch,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Bulloch,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Bulloch,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Bulloch,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Bulloch,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Bulloch,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Bulloch,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Bulloch,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Bulloch,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Bulloch,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Bulloch,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Bulloch,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Bulloch,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Burke,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Burke,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Burke,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Burke,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Burke,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Burke,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Burke,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Burke,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Burke,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Burke,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Burke,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Burke,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Burke,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Burke,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Burke,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Burke,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Burke,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Burke,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Burke,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Burke,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Burke,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Burke,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Burke,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Burke,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Butts,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Butts,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Butts,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Butts,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Butts,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Butts,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Butts,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.10 ,$545.00 ,No,H1170,011,0,3.5,,,,,,,,,,,,
Georgia,Butts,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Butts,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Butts,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Butts,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Butts,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Butts,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Butts,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Butts,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Butts,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Butts,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Butts,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Butts,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Butts,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Butts,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Butts,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Butts,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Butts,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Butts,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Butts,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Butts,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Butts,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Butts,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Butts,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Calhoun,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Calhoun,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Calhoun,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Calhoun,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Calhoun,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Calhoun,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Calhoun,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Calhoun,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Calhoun,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Calhoun,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Calhoun,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Calhoun,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Calhoun,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Calhoun,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Camden,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Camden,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Camden,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Camden,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Camden,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Camden,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Camden,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Camden,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Camden,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Camden,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Camden,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Camden,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Camden,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Camden,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Camden,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Candler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Candler,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Candler,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Candler,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Candler,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Candler,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Candler,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Candler,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Candler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Candler,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Candler,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Candler,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Candler,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Candler,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Candler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Candler,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Candler,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Candler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Candler,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Candler,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Candler,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Candler,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Carroll,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Carroll,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Carroll,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Carroll,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Carroll,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Carroll,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Carroll,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Carroll,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Carroll,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Carroll,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Carroll,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Carroll,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Carroll,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Carroll,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Carroll,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Carroll,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Carroll,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Carroll,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Catoosa,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Catoosa,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Catoosa,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Catoosa,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Catoosa,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Catoosa,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Catoosa,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Catoosa,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Catoosa,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Catoosa,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Catoosa,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Catoosa,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.20 ,$545.00 ,No,H4513,079,0,4.0,,,,,,,,,,,,
Georgia,Catoosa,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,080,0,4.0,,,,,,,,,,,,
Georgia,Catoosa,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Catoosa,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Catoosa,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Catoosa,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Catoosa,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Catoosa,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Catoosa,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Catoosa,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Catoosa,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Charlton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Charlton,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Charlton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Charlton,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Charlton,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Charlton,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Charlton,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Charlton,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Charlton,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Charlton,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Charlton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Charlton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Charlton,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Charlton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Charlton,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Charlton,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Chatham,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Chatham,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Chatham,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Chatham,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Chatham,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Chatham,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Chatham,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Chatham,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Chatham,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Chatham,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Chatham,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Chatham,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Chatham,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Chatham,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Chatham,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Chatham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Chatham,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Chatham,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Chatham,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Chatham,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Chatham,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Chatham,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Chattahoochee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Chattahoochee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Chattahoochee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Chattahoochee,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Chattahoochee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Chattahoochee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Chattahoochee,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Chattahoochee,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Chattahoochee,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Chattahoochee,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Chattahoochee,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Chattahoochee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Chattahoochee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Chattahoochee,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Chattahoochee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Chattahoochee,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Chattahoochee,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Chattahoochee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Chattahoochee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Chattooga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Chattooga,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Chattooga,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Chattooga,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Chattooga,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Chattooga,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Chattooga,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Chattooga,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Chattooga,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Chattooga,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Chattooga,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Chattooga,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Chattooga,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Chattooga,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Chattooga,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Chattooga,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Cherokee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Cherokee,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Cherokee,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Cherokee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Cherokee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Cherokee,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Cherokee,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Cherokee,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Cherokee,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Cherokee,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Cherokee,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Cherokee,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Cherokee,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Cherokee,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Cherokee,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Cherokee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Cherokee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Cherokee,UnitedHealthcare,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$30.30 ,$545.00 ,No,H5322,001,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Cherokee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Cherokee,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Cherokee,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Cherokee,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Cherokee,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Cherokee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Cherokee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Clarke,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Clarke,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Clarke,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Clarke,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Clarke,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Clarke,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Clarke,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clarke,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clarke,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Clarke,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Clarke,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Clarke,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Clarke,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Clarke,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Clarke,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Clarke,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Clarke,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Clarke,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Clarke,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Clarke,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Clarke,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Clarke,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Clarke,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Clarke,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Clarke,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Clarke,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Clarke,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Clay,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Clay,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clay,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clay,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Clay,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Clay,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Clay,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Clay,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Clay,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Clay,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Clay,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Clay,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Clay,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Clay,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Clayton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Clayton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Clayton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Clayton,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Clayton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Clayton,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Clayton,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Clayton,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Clayton,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Clayton,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clayton,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Clayton,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Clayton,Humana,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H4141,021,0,4.0,,,,,,,,,,,,
Georgia,Clayton,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Clayton,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Clayton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Clayton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Clayton,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Clayton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Clayton,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Clayton,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Clayton,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Clayton,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Clayton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Clayton,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Clayton,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Clinch,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Clinch,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Clinch,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Clinch,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Clinch,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clinch,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Clinch,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Clinch,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Clinch,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Clinch,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Clinch,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Clinch,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Clinch,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Clinch,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Clinch,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Clinch,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Clinch,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Clinch,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Clinch,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Clinch,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Cobb,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Cobb,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Cobb,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Cobb,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Cobb,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Cobb,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Cobb,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Cobb,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Cobb,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Cobb,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Cobb,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Cobb,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Cobb,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Cobb,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Cobb,Humana,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H4141,021,0,4.0,,,,,,,,,,,,
Georgia,Cobb,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Cobb,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Cobb,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Cobb,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Cobb,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Cobb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Cobb,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Cobb,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Cobb,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Coffee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Coffee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Coffee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Coffee,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Coffee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Coffee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Coffee,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Coffee,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Coffee,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Coffee,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Coffee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Coffee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Coffee,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Coffee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Coffee,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Coffee,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Coffee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Coffee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Colquitt,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Colquitt,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Colquitt,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Colquitt,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Colquitt,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Colquitt,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Colquitt,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Colquitt,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Colquitt,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Colquitt,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Colquitt,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Colquitt,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Colquitt,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Colquitt,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Colquitt,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Colquitt,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Colquitt,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Colquitt,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Colquitt,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Colquitt,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Colquitt,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Columbia,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Columbia,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Columbia,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Columbia,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Columbia,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Columbia,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Columbia,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Columbia,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Columbia,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Columbia,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Columbia,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$30.30 ,$545.00 ,No,H5322,001,0,4.0,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Columbia,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Columbia,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Columbia,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Columbia,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Columbia,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Cook,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Cook,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Cook,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Cook,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Cook,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Cook,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Cook,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Cook,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Cook,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Cook,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Cook,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Cook,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Cook,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Cook,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Cook,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Coweta,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Coweta,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Coweta,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Coweta,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Coweta,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Coweta,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Coweta,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Coweta,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Coweta,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Coweta,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Coweta,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Coweta,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Coweta,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Coweta,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Coweta,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Coweta,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Coweta,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Coweta,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Coweta,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Coweta,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Coweta,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Coweta,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Coweta,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Coweta,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Coweta,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Coweta,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Coweta,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Coweta,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Crawford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Crawford,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Crawford,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Crawford,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Crawford,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Crawford,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Crawford,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Crawford,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Crawford,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Crawford,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Crawford,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Crawford,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Crawford,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Crawford,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Crawford,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Crawford,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Crawford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Crawford,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Crawford,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Crawford,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Crawford,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Crawford,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Crawford,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Crisp,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Crisp,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Crisp,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Crisp,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Crisp,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Crisp,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Crisp,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Crisp,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Crisp,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Crisp,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Crisp,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Crisp,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Crisp,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Crisp,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Crisp,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Crisp,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Crisp,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Crisp,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Crisp,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Crisp,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Dade,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Dade,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Dade,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Dade,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Dade,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dade,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dade,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Dade,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Dade,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.20 ,$545.00 ,No,H4513,079,0,4.0,,,,,,,,,,,,
Georgia,Dade,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,080,0,4.0,,,,,,,,,,,,
Georgia,Dade,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Dade,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Dade,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Dade,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Dade,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Dade,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Dade,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Dade,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Dade,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Dawson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Dawson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Dawson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Dawson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Dawson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Dawson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Dawson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dawson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dawson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Dawson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Dawson,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Dawson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Dawson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Dawson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Dawson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Dawson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Dawson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Dawson,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Dawson,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Dawson,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Dawson,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Dawson,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Dawson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Dawson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,DeKalb,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,DeKalb,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,DeKalb,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,DeKalb,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,DeKalb,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,DeKalb,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,DeKalb,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,DeKalb,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,DeKalb,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,DeKalb,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,DeKalb,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,DeKalb,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,DeKalb,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,Humana,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H4141,021,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,DeKalb,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,DeKalb,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,DeKalb,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,DeKalb,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,DeKalb,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,DeKalb,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,DeKalb,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,DeKalb,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,DeKalb,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Decatur,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Decatur,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Decatur,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Decatur,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Decatur,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Decatur,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Decatur,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Decatur,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Decatur,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Decatur,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Decatur,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Decatur,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Decatur,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Decatur,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Decatur,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Dodge,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Dodge,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Dodge,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Dodge,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Dodge,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dodge,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dodge,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Dodge,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Dodge,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Dodge,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Dodge,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Dodge,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Dodge,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Dodge,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Dodge,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Dodge,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Dodge,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Dodge,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Dooly,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Dooly,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Dooly,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Dooly,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Dooly,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Dooly,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dooly,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dooly,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Dooly,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Dooly,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Dooly,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Dooly,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Dooly,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Dooly,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Dooly,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Dooly,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Dooly,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Dooly,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Dooly,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Dooly,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Dooly,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Dougherty,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dougherty,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Dougherty,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Dougherty,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Dougherty,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Dougherty,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Dougherty,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Dougherty,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Dougherty,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Dougherty,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Dougherty,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Dougherty,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Dougherty,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Dougherty,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Dougherty,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Douglas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Douglas,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Douglas,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Douglas,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Douglas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Douglas,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Douglas,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Douglas,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Douglas,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Douglas,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Douglas,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Douglas,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Douglas,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Douglas,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Douglas,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Douglas,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Douglas,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$30.30 ,$545.00 ,No,H5322,001,0,4.0,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Douglas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Douglas,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Douglas,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Douglas,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Douglas,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Douglas,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Early,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Early,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Early,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Early,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Early,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Early,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Early,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Early,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Early,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Early,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Early,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Early,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Echols,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Echols,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Echols,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Echols,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Echols,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Echols,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Echols,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Echols,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Echols,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Echols,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Echols,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Echols,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Echols,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Echols,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Echols,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Echols,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Echols,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Effingham,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Effingham,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Effingham,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Effingham,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Effingham,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Effingham,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Effingham,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Effingham,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Effingham,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Effingham,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Effingham,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Effingham,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Effingham,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Effingham,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Effingham,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Effingham,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Effingham,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Effingham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Effingham,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Effingham,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Elbert,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Elbert,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Elbert,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Elbert,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Elbert,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Elbert,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Elbert,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Elbert,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Elbert,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Elbert,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Elbert,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Elbert,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Elbert,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Elbert,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Elbert,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Elbert,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Elbert,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Elbert,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Elbert,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Elbert,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Elbert,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Elbert,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Emanuel,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Emanuel,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Emanuel,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Emanuel,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Emanuel,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Emanuel,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Emanuel,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Emanuel,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Emanuel,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Emanuel,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Emanuel,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Emanuel,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Emanuel,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Emanuel,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Emanuel,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Emanuel,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Emanuel,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Emanuel,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Emanuel,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Emanuel,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Evans,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Evans,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Evans,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Evans,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Evans,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Evans,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Evans,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Evans,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Evans,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Evans,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Evans,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Evans,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Evans,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Evans,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Evans,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Evans,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Evans,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Evans,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Evans,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Evans,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Evans,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Evans,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Fannin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Fannin,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Fannin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Fannin,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Fannin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Fannin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Fannin,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Fannin,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Fannin,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Fannin,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Fannin,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Fannin,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Fannin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Fannin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Fannin,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Fannin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Fannin,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Fannin,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Fayette,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Fayette,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Fayette,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Fayette,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Fayette,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Fayette,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Fayette,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Fayette,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Fayette,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Fayette,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Fayette,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Fayette,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Fayette,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Fayette,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Fayette,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Fayette,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Fayette,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Fayette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Fayette,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Fayette,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Fayette,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Fayette,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Fayette,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Fayette,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Fayette,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Floyd,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Floyd,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Floyd,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Floyd,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Floyd,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Floyd,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Floyd,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Floyd,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Floyd,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Floyd,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Floyd,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Floyd,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Floyd,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Floyd,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Floyd,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Floyd,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Floyd,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Floyd,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Floyd,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Floyd,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Floyd,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Floyd,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Floyd,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Floyd,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Floyd,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Floyd,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Forsyth,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Forsyth,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Forsyth,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Forsyth,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Forsyth,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Forsyth,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Forsyth,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Forsyth,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Forsyth,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Forsyth,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Forsyth,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Forsyth,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Forsyth,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Forsyth,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$30.30 ,$545.00 ,No,H5322,001,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Forsyth,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Forsyth,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Forsyth,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Forsyth,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Forsyth,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Forsyth,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Forsyth,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Franklin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Franklin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Franklin,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Franklin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Franklin,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Franklin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Franklin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Franklin,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Franklin,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Franklin,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Franklin,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Franklin,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Franklin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Franklin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Franklin,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Franklin,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Franklin,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Franklin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Franklin,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Franklin,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Franklin,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Franklin,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Franklin,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Franklin,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Fulton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Fulton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Fulton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Fulton,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Fulton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Fulton,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Fulton,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Fulton,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Fulton,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Fulton,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Fulton,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Fulton,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Fulton,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Fulton,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Fulton,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Fulton,Humana,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H4141,021,0,4.0,,,,,,,,,,,,
Georgia,Fulton,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Fulton,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Fulton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Fulton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Fulton,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Fulton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Fulton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Fulton,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Fulton,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Gilmer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Gilmer,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Gilmer,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Gilmer,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Gilmer,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Gilmer,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Gilmer,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Gilmer,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Gilmer,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Gilmer,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Gilmer,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Gilmer,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Gilmer,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Gilmer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Gilmer,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Gilmer,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Gilmer,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Gilmer,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Glascock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Glascock,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Glascock,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Glascock,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Glascock,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Glascock,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Glascock,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Glascock,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Glascock,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Glascock,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Glascock,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Glascock,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Glascock,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Glascock,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Glascock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Glascock,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Glascock,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Glascock,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Glascock,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Glynn,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Glynn,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Glynn,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Glynn,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Glynn,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Glynn,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Glynn,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Glynn,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Glynn,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Glynn,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Glynn,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Glynn,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Glynn,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Glynn,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Glynn,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Glynn,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Gordon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Gordon,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Gordon,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Gordon,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Gordon,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Gordon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Gordon,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Gordon,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Gordon,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Gordon,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Gordon,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Gordon,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Gordon,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Gordon,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Gordon,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Gordon,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Gordon,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Gordon,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Gordon,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Gordon,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Gordon,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Gordon,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Gordon,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Gordon,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Grady,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Grady,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Grady,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Grady,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Grady,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Grady,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Grady,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Grady,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Grady,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Grady,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Grady,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Grady,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Grady,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Grady,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Grady,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Greene,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Greene,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Greene,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Greene,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Greene,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Greene,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Greene,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Greene,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Greene,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Greene,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Greene,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Greene,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Greene,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Greene,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Greene,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Greene,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Greene,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Greene,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Greene,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Greene,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Greene,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Greene,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Greene,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Greene,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Greene,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Greene,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Greene,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Greene,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Greene,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Gwinnett,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Gwinnett,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Gwinnett,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Gwinnett,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Gwinnett,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Gwinnett,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Gwinnett,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Gwinnett,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Gwinnett,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Gwinnett,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Gwinnett,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,Humana,Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H4141,021,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Gwinnett,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Gwinnett,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Gwinnett,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Gwinnett,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Gwinnett,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Gwinnett,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Gwinnett,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Gwinnett,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Habersham,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Habersham,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Habersham,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Habersham,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Habersham,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Habersham,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Habersham,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Habersham,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Habersham,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Habersham,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Habersham,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Habersham,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Habersham,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Habersham,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Habersham,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Habersham,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Habersham,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Habersham,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Habersham,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Habersham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Habersham,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Habersham,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Habersham,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Habersham,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Habersham,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Hall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Hall,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Hall,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Hall,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Hall,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Hall,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Hall,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Hall,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Hall,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Hall,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Hall,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Hall,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Hall,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Hall,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Hall,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Hall,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Hall,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Hall,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Hall,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Hall,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Hall,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Hall,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Hall,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Hall,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Hancock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Hancock,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Hancock,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Hancock,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Hancock,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Hancock,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Hancock,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Hancock,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Hancock,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Hancock,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Hancock,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Hancock,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Hancock,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Hancock,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Hancock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Hancock,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Hancock,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Hancock,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Hancock,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Hancock,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Hancock,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Haralson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Haralson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Haralson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Haralson,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Haralson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Haralson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Haralson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Haralson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Haralson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Haralson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Haralson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Haralson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Haralson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Haralson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Haralson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Haralson,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Haralson,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Haralson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Haralson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Haralson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Haralson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Harris,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Harris,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Harris,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Harris,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Harris,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Harris,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Harris,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Harris,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Harris,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Harris,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Harris,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Harris,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Harris,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Harris,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Harris,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Harris,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Harris,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Harris,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Harris,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Harris,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Harris,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Harris,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Harris,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Harris,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Harris,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Harris,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Harris,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Hart,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Hart,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Hart,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Hart,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Hart,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Hart,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Hart,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Hart,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Hart,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Hart,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Hart,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Hart,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Hart,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Hart,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Hart,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Hart,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Hart,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Hart,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Hart,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Hart,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Hart,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Hart,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Hart,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Hart,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Hart,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Hart,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Hart,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Heard,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Heard,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Heard,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Heard,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Heard,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Heard,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Heard,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Heard,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Heard,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Heard,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Heard,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Heard,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Heard,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Heard,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Heard,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Heard,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Heard,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Heard,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Heard,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Heard,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Heard,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Heard,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Heard,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Heard,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Heard,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Heard,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Heard,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Heard,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Heard,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Henry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Henry,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Henry,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Henry,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Henry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Henry,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Henry,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Henry,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Henry,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Henry,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Henry,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Henry,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Henry,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Henry,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Henry,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Henry,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Henry,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Henry,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Henry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Henry,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Henry,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Henry,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Henry,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Henry,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Henry,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Henry,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Henry,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Henry,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Henry,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Henry,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Henry,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Henry,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Henry,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Houston,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Houston,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Houston,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Houston,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Houston,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Houston,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Houston,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Houston,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Houston,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Houston,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Houston,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Houston,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Houston,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Houston,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Houston,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Houston,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Houston,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Houston,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Houston,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Houston,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Houston,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Houston,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Houston,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Houston,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Houston,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Houston,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Houston,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Houston,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Houston,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Houston,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Houston,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Houston,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Irwin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Irwin,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Irwin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Irwin,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Irwin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Irwin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Irwin,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Irwin,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Irwin,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Irwin,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Irwin,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Irwin,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Irwin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Irwin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Irwin,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Irwin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Irwin,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Irwin,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Irwin,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Irwin,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Jackson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Jackson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Jackson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Jackson,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Jackson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Jackson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Jackson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Jackson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jackson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jackson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Jackson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Jackson,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Jackson,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Jackson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Jackson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Jackson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Jackson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Jackson,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Jackson,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Jackson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Jackson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Jackson,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Jackson,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Jackson,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Jackson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Jackson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Jasper,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Jasper,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Jasper,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Jasper,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Jasper,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jasper,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jasper,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Jasper,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Jasper,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Jasper,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Jasper,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Jasper,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Jasper,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Jasper,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Jasper,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Jasper,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Jasper,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Jasper,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Jasper,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Jasper,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Jasper,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Jasper,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Jeff Davis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Jeff Davis,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Jeff Davis,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Jeff Davis,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Jeff Davis,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jeff Davis,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jeff Davis,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Jeff Davis,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Jeff Davis,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Jeff Davis,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Jeff Davis,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Jeff Davis,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Jeff Davis,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Jeff Davis,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Jeff Davis,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Jeff Davis,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Jeff Davis,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Jeff Davis,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Jefferson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Jefferson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Jefferson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Jefferson,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jefferson,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jefferson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Jefferson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Jefferson,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Jefferson,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Jefferson,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Jefferson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Jefferson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Jefferson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Jefferson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Jefferson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Jefferson,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Jefferson,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Jefferson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Jefferson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Jenkins,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Jenkins,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Jenkins,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Jenkins,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Jenkins,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jenkins,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jenkins,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Jenkins,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Jenkins,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Jenkins,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Jenkins,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Jenkins,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Jenkins,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Jenkins,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Jenkins,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Jenkins,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Jenkins,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Jenkins,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Jenkins,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Jenkins,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Johnson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Johnson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Johnson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Johnson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Johnson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Johnson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Johnson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Johnson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Johnson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Johnson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Johnson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Johnson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Johnson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Johnson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Johnson,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Johnson,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Johnson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Johnson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Jones,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Jones,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Jones,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Jones,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Jones,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jones,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Jones,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Jones,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Jones,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Jones,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Jones,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Jones,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Jones,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Jones,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Jones,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Jones,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Jones,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Jones,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Jones,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Jones,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Jones,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Jones,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Jones,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Jones,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Jones,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Lamar,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Lamar,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Lamar,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Lamar,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Lamar,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lamar,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lamar,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Lamar,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Lamar,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Lamar,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Lamar,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Lamar,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Lamar,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Lamar,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Lamar,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Lamar,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Lamar,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Lamar,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Lamar,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Lamar,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Lamar,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Lanier,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Lanier,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Lanier,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Lanier,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Lanier,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lanier,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lanier,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Lanier,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Lanier,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Lanier,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Lanier,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Lanier,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Lanier,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Lanier,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Lanier,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Laurens,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Laurens,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Laurens,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Laurens,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Laurens,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Laurens,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Laurens,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Laurens,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Laurens,UnitedHealthcare,UHC Dual Complete GA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H2406,052,0,4.0,,,,,,,,,,,,
Georgia,Laurens,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Laurens,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Laurens,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Laurens,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Laurens,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Laurens,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Laurens,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Laurens,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Laurens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Laurens,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Laurens,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Lee,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Lee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lee,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Lee,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Lee,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Lee,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Lee,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Lee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Lee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Lee,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Lee,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Lee,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Lee,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Lee,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Lee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Lee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Liberty,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Liberty,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Liberty,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Liberty,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Liberty,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Liberty,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Liberty,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Liberty,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Liberty,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Liberty,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Liberty,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Liberty,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Liberty,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Liberty,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Liberty,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Liberty,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Liberty,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Liberty,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Liberty,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Liberty,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Lincoln,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Lincoln,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Lincoln,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Lincoln,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lincoln,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lincoln,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Lincoln,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Lincoln,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Lincoln,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Lincoln,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Lincoln,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Lincoln,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Lincoln,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Lincoln,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Lincoln,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Lincoln,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Lincoln,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Long,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Long,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Long,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Long,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Long,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Long,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Long,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Long,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Long,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Long,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Long,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Long,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Long,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Long,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Long,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Long,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Long,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Long,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Long,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Long,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Long,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Long,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Lowndes,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Lowndes,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Lowndes,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Lowndes,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Lowndes,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lowndes,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lowndes,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Lowndes,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Lowndes,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Lowndes,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Lowndes,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Lowndes,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Lowndes,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Lowndes,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Lowndes,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Lowndes,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Lowndes,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Lowndes,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Lumpkin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Lumpkin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Lumpkin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Lumpkin,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Lumpkin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Lumpkin,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Lumpkin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lumpkin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Lumpkin,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Lumpkin,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Lumpkin,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Lumpkin,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Lumpkin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Lumpkin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Lumpkin,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Lumpkin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Lumpkin,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Lumpkin,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Lumpkin,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Lumpkin,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Lumpkin,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Lumpkin,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Lumpkin,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Macon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Macon,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Macon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Macon,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Macon,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Macon,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Macon,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Macon,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Macon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Macon,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Macon,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Macon,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Macon,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Macon,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Macon,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Macon,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Macon,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Macon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Macon,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Macon,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Macon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Macon,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Macon,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Macon,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Macon,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Macon,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Macon,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Madison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Madison,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Madison,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Madison,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Madison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Madison,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Madison,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Madison,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Madison,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Madison,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Madison,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Madison,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Madison,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Madison,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Madison,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Madison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Madison,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Madison,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Madison,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Madison,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Madison,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Madison,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Madison,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Madison,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Madison,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Madison,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Madison,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Madison,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Madison,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Madison,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Madison,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Marion,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Marion,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Marion,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Marion,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Marion,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Marion,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Marion,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Marion,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Marion,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Marion,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Marion,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Marion,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Marion,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Marion,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Marion,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Marion,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Marion,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Marion,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Marion,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Marion,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Marion,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Marion,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Marion,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,McDuffie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,McDuffie,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,McDuffie,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,McDuffie,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,McDuffie,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,McDuffie,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,McDuffie,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,McDuffie,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,McDuffie,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,McDuffie,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,McDuffie,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,McDuffie,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,McDuffie,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,McDuffie,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,McDuffie,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,McDuffie,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,McDuffie,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,McDuffie,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,McDuffie,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,McDuffie,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,McIntosh,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,McIntosh,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,McIntosh,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,McIntosh,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,McIntosh,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,McIntosh,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,McIntosh,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,McIntosh,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,McIntosh,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,McIntosh,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,McIntosh,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,McIntosh,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,McIntosh,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,McIntosh,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,McIntosh,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,McIntosh,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,McIntosh,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,McIntosh,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,McIntosh,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,McIntosh,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Meriwether,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Meriwether,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Meriwether,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Meriwether,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Meriwether,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Meriwether,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Meriwether,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Meriwether,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Meriwether,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Meriwether,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Meriwether,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Meriwether,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Meriwether,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Meriwether,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Meriwether,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Meriwether,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Meriwether,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Meriwether,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Meriwether,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Meriwether,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Meriwether,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Meriwether,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Meriwether,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Meriwether,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Meriwether,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Miller,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Miller,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Miller,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Miller,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Miller,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Miller,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Miller,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Miller,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Miller,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Miller,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Miller,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Miller,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Miller,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Miller,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Miller,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Miller,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Miller,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Mitchell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Mitchell,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Mitchell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Mitchell,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Mitchell,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Mitchell,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Mitchell,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Mitchell,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Mitchell,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Mitchell,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Mitchell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Mitchell,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Mitchell,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Mitchell,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Mitchell,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Mitchell,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Mitchell,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Monroe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Monroe,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Monroe,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Monroe,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Monroe,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Monroe,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Monroe,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Monroe,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Monroe,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Monroe,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Monroe,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Monroe,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Monroe,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Monroe,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Monroe,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Monroe,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Monroe,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Monroe,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Monroe,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Monroe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Monroe,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Monroe,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Monroe,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Monroe,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Monroe,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Monroe,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Monroe,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Montgomery,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Montgomery,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Montgomery,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Montgomery,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Montgomery,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Montgomery,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Montgomery,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Montgomery,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Montgomery,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Montgomery,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Montgomery,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Montgomery,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Montgomery,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Montgomery,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Montgomery,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Montgomery,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Morgan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Morgan,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Morgan,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Morgan,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Morgan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Morgan,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Morgan,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Morgan,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Morgan,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Morgan,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Morgan,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Morgan,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Morgan,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Morgan,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Morgan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Morgan,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Morgan,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Morgan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Morgan,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Morgan,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Morgan,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Morgan,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Morgan,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Murray,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Murray,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Murray,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Murray,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Murray,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Murray,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Murray,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Murray,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Murray,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Murray,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Murray,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Murray,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Murray,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Murray,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Murray,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Murray,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Murray,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Murray,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Murray,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Murray,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Murray,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Murray,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Muscogee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Muscogee,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Muscogee,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Muscogee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Muscogee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Muscogee,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Muscogee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Muscogee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Muscogee,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Muscogee,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Muscogee,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Muscogee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Muscogee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Muscogee,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Muscogee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Muscogee,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Muscogee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Muscogee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Newton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Newton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Newton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Newton,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Newton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Newton,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.10 ,$545.00 ,No,H1170,011,0,3.5,,,,,,,,,,,,
Georgia,Newton,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Newton,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Newton,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Newton,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Newton,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Newton,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Newton,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Newton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Newton,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Newton,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Newton,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Newton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Newton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Newton,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Newton,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Newton,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Newton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Newton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Newton,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Newton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Newton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Newton,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Newton,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Newton,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Newton,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Newton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Newton,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Newton,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Oconee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Oconee,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Oconee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Oconee,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Oconee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Oconee,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Oconee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Oconee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Oconee,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Oconee,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Oconee,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Oconee,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Oconee,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Oconee,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Oconee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Oconee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Oconee,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Oconee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Oconee,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Oconee,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Oconee,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Oconee,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Oconee,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Oconee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Oconee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Oglethorpe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Oglethorpe,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Oglethorpe,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Oglethorpe,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Oglethorpe,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Oglethorpe,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Oglethorpe,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Oglethorpe,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Oglethorpe,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Oglethorpe,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Oglethorpe,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Oglethorpe,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Oglethorpe,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Oglethorpe,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Oglethorpe,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Oglethorpe,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Oglethorpe,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Oglethorpe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Oglethorpe,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Oglethorpe,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Oglethorpe,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Oglethorpe,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Oglethorpe,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Oglethorpe,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Oglethorpe,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Paulding,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Paulding,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Paulding,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Paulding,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Paulding,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Paulding,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H1170,008,0,3.5,,,,,,,,,,,,
Georgia,Paulding,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Paulding,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Paulding,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Paulding,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Paulding,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Paulding,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Paulding,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Paulding,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Paulding,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Paulding,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Paulding,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Paulding,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Paulding,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Paulding,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Paulding,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Paulding,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Paulding,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Paulding,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Paulding,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Paulding,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Paulding,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Peach,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Peach,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Peach,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Peach,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Peach,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Peach,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Peach,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Peach,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Peach,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Peach,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Peach,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Peach,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Peach,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Peach,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Peach,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Peach,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Peach,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Peach,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Peach,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Peach,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Peach,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Peach,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Peach,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Peach,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Peach,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Peach,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Peach,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Peach,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Pickens,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Pickens,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Pickens,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Pickens,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Pickens,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Pickens,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Pickens,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pickens,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pickens,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Pickens,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Pickens,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Pickens,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Pickens,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Pickens,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Pickens,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Pickens,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Pickens,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Pickens,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Pickens,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Pickens,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Pickens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Pickens,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Pickens,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Pickens,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Pickens,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Pickens,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Pickens,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Pierce,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Pierce,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Pierce,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Pierce,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Pierce,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pierce,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pierce,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Pierce,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Pierce,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Pierce,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Pierce,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Pierce,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Pierce,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Pierce,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Pierce,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Pierce,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Pierce,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Pierce,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Pike,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Pike,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Pike,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Pike,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Pike,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pike,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pike,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Pike,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Pike,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Pike,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Pike,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Pike,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Pike,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Pike,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Pike,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Pike,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Pike,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Pike,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Pike,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Pike,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Pike,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Pike,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Pike,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Polk,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Polk,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Polk,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Polk,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Polk,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Polk,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Polk,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Polk,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Polk,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Polk,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Polk,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Polk,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Polk,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Polk,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Polk,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Polk,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Polk,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Polk,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Polk,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Polk,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Polk,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Polk,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Polk,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Polk,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Polk,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Polk,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Pulaski,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Pulaski,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Pulaski,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Pulaski,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Pulaski,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pulaski,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Pulaski,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Pulaski,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Pulaski,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Pulaski,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Pulaski,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Pulaski,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Pulaski,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Pulaski,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Pulaski,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Pulaski,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Pulaski,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Pulaski,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Pulaski,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Putnam,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Putnam,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Putnam,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Putnam,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Putnam,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Putnam,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Putnam,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Putnam,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Putnam,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Putnam,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Putnam,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Putnam,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Putnam,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Putnam,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Putnam,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Putnam,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Putnam,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Putnam,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Putnam,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Putnam,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Putnam,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Putnam,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Quitman,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Quitman,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Quitman,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Quitman,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Quitman,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Quitman,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Quitman,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Quitman,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Quitman,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Quitman,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Quitman,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Quitman,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Quitman,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Quitman,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Quitman,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Quitman,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Quitman,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Quitman,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Rabun,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Rabun,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Rabun,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Rabun,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Rabun,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Rabun,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Rabun,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Rabun,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Rabun,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Rabun,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Rabun,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Rabun,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Rabun,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Rabun,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Rabun,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Rabun,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Rabun,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Rabun,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Randolph,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Randolph,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Randolph,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Randolph,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Randolph,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Randolph,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Randolph,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Randolph,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Randolph,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Randolph,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Randolph,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Randolph,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Randolph,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Randolph,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Randolph,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Randolph,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Randolph,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Richmond,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Richmond,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Richmond,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Richmond,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Richmond,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Richmond,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Richmond,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Richmond,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Richmond,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Richmond,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Richmond,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Richmond,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Richmond,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$30.30 ,$545.00 ,No,H5322,001,0,4.0,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Richmond,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Richmond,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Richmond,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Richmond,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Richmond,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Rockdale,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Rockdale,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Care Advantage GA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.20 ,$0.00 ,No,H0710,054,0,5.0,,,,,,,,,,,,
Georgia,Rockdale,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Rockdale,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Rockdale,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.10 ,$545.00 ,No,H1170,011,0,3.5,,,,,,,,,,,,
Georgia,Rockdale,"Sonder Health Plans, Inc.",Sonder Diabetes Wellness (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,003,0,Not enough data available,,,,*,,,,,,,,
Georgia,Rockdale,"Sonder Health Plans, Inc.",Sonder Heart Healthy (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1748,004,0,Not enough data available,*,,,,,,,,,,,
Georgia,Rockdale,"Sonder Health Plans, Inc.",Sonder Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,No,H1748,005,0,Not enough data available,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Rockdale,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Rockdale,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Rockdale,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Rockdale,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Rockdale,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Rockdale,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Rockdale,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Rockdale,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Rockdale,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Rockdale,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Rockdale,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Rockdale,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Rockdale,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Schley,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Schley,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Schley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Schley,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Schley,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Schley,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Schley,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Schley,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Schley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Schley,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Schley,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Schley,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Schley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Schley,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Schley,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Schley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Schley,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Schley,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Schley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Schley,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Schley,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Schley,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Schley,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Schley,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Schley,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Screven,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Screven,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Screven,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Screven,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Screven,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Screven,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Screven,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Screven,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Screven,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Screven,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Screven,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Screven,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Screven,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Screven,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Screven,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Screven,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Screven,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Screven,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Screven,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Screven,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Screven,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Screven,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Screven,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Screven,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Seminole,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Seminole,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Seminole,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Seminole,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Seminole,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Seminole,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Seminole,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Seminole,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Seminole,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Seminole,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Seminole,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Seminole,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Seminole,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Seminole,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Seminole,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Spalding,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Spalding,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Spalding,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Spalding,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Spalding,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Spalding,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Spalding,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.10 ,$545.00 ,No,H1170,011,0,3.5,,,,,,,,,,,,
Georgia,Spalding,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Spalding,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.50 ,$545.00 ,No,H2293,002,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Spalding,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.40 ,$545.00 ,No,H2293,003,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Spalding,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Spalding,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Spalding,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Spalding,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Spalding,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Spalding,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Spalding,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Spalding,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Spalding,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Spalding,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Spalding,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Spalding,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Spalding,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Spalding,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Spalding,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Spalding,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Spalding,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Spalding,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Spalding,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Stephens,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Stephens,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Stephens,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Stephens,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Stephens,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Stephens,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Stephens,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Stephens,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Stephens,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Stephens,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Stephens,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Stephens,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Stephens,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Stephens,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Stephens,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Stephens,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Stephens,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Stephens,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Stephens,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Stephens,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Stephens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Stephens,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Stephens,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Stephens,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Stephens,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Stephens,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,015,0,Not enough data available,,,,,,,,,,,,
Georgia,Stephens,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Stephens,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Stewart,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Stewart,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Stewart,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Stewart,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Stewart,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Stewart,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Stewart,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Stewart,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Stewart,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Stewart,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Stewart,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Stewart,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Stewart,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Stewart,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Stewart,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Stewart,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Stewart,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Stewart,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Stewart,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Sumter,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Sumter,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Sumter,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Sumter,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Sumter,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Sumter,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Sumter,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Sumter,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Sumter,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Sumter,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Sumter,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Sumter,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Sumter,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Sumter,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Sumter,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Sumter,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Sumter,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Talbot,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Talbot,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Talbot,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Talbot,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Talbot,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Talbot,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Talbot,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Talbot,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Talbot,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Talbot,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Talbot,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Talbot,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Talbot,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Talbot,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Talbot,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Talbot,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Talbot,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Talbot,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Talbot,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Talbot,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Talbot,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Talbot,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Talbot,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Taliaferro,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Taliaferro,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Taliaferro,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Taliaferro,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Taliaferro,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Taliaferro,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Taliaferro,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Taliaferro,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Taliaferro,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Taliaferro,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Taliaferro,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Taliaferro,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Taliaferro,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Taliaferro,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Taliaferro,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Taliaferro,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Taliaferro,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Taliaferro,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Taliaferro,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Taliaferro,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Taliaferro,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Tattnall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Tattnall,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Tattnall,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Tattnall,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Tattnall,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Tattnall,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Tattnall,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Tattnall,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Tattnall,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Tattnall,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Tattnall,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Tattnall,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Tattnall,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Tattnall,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Tattnall,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Tattnall,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Tattnall,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Tattnall,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Taylor,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Taylor,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Taylor,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Taylor,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Taylor,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Taylor,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Taylor,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Taylor,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Taylor,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Taylor,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Taylor,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Taylor,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Taylor,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Taylor,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.30 ,$545.00 ,No,H5302,012,0,4.0,,,,,,,,,,,,
Georgia,Taylor,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Taylor,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Taylor,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Taylor,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Taylor,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Taylor,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Taylor,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Taylor,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Taylor,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Telfair,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Telfair,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Telfair,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Telfair,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Telfair,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Telfair,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Telfair,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Telfair,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Telfair,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Telfair,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Telfair,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Telfair,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Telfair,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Telfair,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Telfair,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Telfair,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Telfair,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Telfair,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Telfair,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Terrell,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Terrell,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Terrell,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Terrell,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Terrell,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Terrell,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Terrell,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Terrell,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Terrell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Terrell,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Terrell,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Terrell,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Terrell,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Terrell,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Terrell,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Terrell,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Terrell,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Thomas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Thomas,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Thomas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Thomas,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Thomas,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Thomas,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Thomas,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Thomas,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Thomas,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Thomas,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Thomas,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Thomas,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Thomas,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Thomas,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Thomas,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Tift,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Tift,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Tift,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Tift,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Tift,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Tift,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Tift,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Tift,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Tift,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Tift,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Tift,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Tift,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Tift,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Tift,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H5302,014,0,4.0,,,,,,,,,,,,
Georgia,Tift,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Tift,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Tift,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Tift,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Tift,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Tift,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Tift,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Tift,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Tift,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Tift,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Toombs,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Toombs,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Toombs,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Toombs,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Toombs,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Toombs,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Toombs,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Toombs,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Toombs,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Toombs,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Toombs,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Toombs,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Toombs,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Toombs,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Toombs,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Toombs,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Toombs,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Toombs,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Toombs,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Toombs,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Towns,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Towns,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Towns,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Towns,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Towns,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Towns,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Towns,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Towns,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Towns,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Towns,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Towns,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Towns,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Towns,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Towns,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Towns,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Towns,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Towns,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Towns,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Towns,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Towns,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Treutlen,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Treutlen,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Treutlen,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Treutlen,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Treutlen,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Treutlen,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Treutlen,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Treutlen,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Treutlen,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Treutlen,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Treutlen,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Treutlen,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Treutlen,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Treutlen,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Treutlen,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Treutlen,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Treutlen,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Treutlen,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Troup,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Troup,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Troup,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Troup,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Troup,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Troup,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Troup,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Troup,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Troup,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Troup,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Troup,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Troup,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Troup,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Troup,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Troup,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Troup,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Troup,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Troup,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Troup,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Troup,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Troup,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Troup,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Troup,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Troup,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Troup,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Turner,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Turner,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Turner,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Turner,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Turner,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Turner,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Turner,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Turner,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Turner,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Turner,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Turner,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Turner,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Turner,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Turner,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Turner,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Turner,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Turner,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Turner,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Turner,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Turner,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Turner,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Turner,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Turner,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Turner,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Turner,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Turner,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Twiggs,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Twiggs,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Twiggs,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Twiggs,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Twiggs,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Twiggs,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Twiggs,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Twiggs,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Twiggs,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Twiggs,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Twiggs,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Twiggs,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Twiggs,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Twiggs,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Twiggs,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Twiggs,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Twiggs,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Twiggs,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Twiggs,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Twiggs,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Twiggs,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Union,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Union,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Union,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Union,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Union,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Union,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Union,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Union,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Union,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Union,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Union,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Union,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Union,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Union,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Union,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Union,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Union,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Union,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Union,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Union,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Upson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Upson,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Upson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Upson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Upson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Upson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Upson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Upson,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Upson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Upson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Upson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Upson,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Upson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Upson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Upson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Upson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Upson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Upson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Upson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Upson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Upson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Upson,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Upson,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Upson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Upson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Walker,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Walker,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Walker,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Walker,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Walker,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Walker,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Walker,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Walker,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Walker,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Walker,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Walker,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.20 ,$545.00 ,No,H4513,079,0,4.0,,,,,,,,,,,,
Georgia,Walker,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H4513,080,0,4.0,,,,,,,,,,,,
Georgia,Walker,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Walker,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Walker,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Walker,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Walker,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Walker,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Walker,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Walker,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Walker,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Walton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Walton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,Walton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,Walton,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Walton,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Walton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Walton,Kaiser Permanente,Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.10 ,$545.00 ,No,H1170,011,0,3.5,,,,,,,,,,,,
Georgia,Walton,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Walton,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Walton,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Walton,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Walton,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Walton,PruittHealth Premier,PruittHealth Premier D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3291,002,0,Not enough data available,,,,,,,,,,,,
Georgia,Walton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Walton,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Walton,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Walton,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Walton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Walton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Walton,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Walton,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Walton,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Walton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Walton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Walton,Anthem Blue Cross and Blue Shield,Anthem Grocery (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.30 ,$545.00 ,No,H5422,016,0,3.5,,,,,,,,,,,,
Georgia,Walton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Walton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Walton,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Walton,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Walton,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Walton,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Walton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$44.20 ,$545.00 ,Yes,H8390,016,0,Not enough data available,,,,,,,,,,,,
Georgia,Walton,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Walton,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Ware,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Ware,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Ware,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Ware,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Ware,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Ware,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Ware,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Ware,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Ware,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Ware,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Ware,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Ware,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Ware,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Ware,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Ware,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Ware,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Ware,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Ware,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Ware,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Ware,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Ware,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Ware,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Warren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Warren,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Warren,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Warren,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Warren,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Warren,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Warren,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Warren,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Warren,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Warren,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Warren,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Warren,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Warren,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Warren,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Warren,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Warren,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Warren,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Warren,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Warren,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Warren,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Warren,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Warren,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Warren,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Washington,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Washington,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Washington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Washington,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Washington,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Washington,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Washington,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Georgia,Washington,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Washington,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Washington,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Washington,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Washington,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Washington,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Washington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Washington,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Washington,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Washington,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Washington,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Washington,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Washington,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Washington,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Washington,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Washington,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Washington,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Wayne,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Wayne,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Wayne,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Wayne,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wayne,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wayne,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Wayne,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Wayne,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Wayne,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Wayne,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Wayne,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Wayne,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Wayne,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Wayne,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Wayne,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Wayne,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Wayne,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Webster,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Webster,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Webster,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Webster,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Webster,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Webster,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Webster,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Webster,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Webster,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Webster,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Webster,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Webster,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Webster,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Webster,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Webster,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Webster,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Webster,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Webster,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Webster,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Webster,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Webster,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Webster,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Webster,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Wheeler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Wheeler,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Wheeler,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Wheeler,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Wheeler,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Wheeler,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wheeler,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wheeler,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Wheeler,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Wheeler,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Wheeler,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Wheeler,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Wheeler,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Wheeler,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Wheeler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Wheeler,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Wheeler,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Wheeler,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Wheeler,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,White,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,White,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.50 ,$545.00 ,No,H0439,002,0,4.0,,,,,,,,,,,,
Georgia,White,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0439,012,0,4.0,,,,,,,,,,,,
Georgia,White,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,White,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,White,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,White,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,White,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,White,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,White,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,White,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,White,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,White,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,White,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,White,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,White,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,White,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,White,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,White,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,White,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,White,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,White,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,White,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,White,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Whitfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Whitfield,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Whitfield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Whitfield,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Whitfield,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Whitfield,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Whitfield,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Whitfield,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Whitfield,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Whitfield,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Whitfield,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Whitfield,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Whitfield,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Whitfield,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Whitfield,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Wilcox,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Wilcox,UnitedHealthcare,UHC Nursing Home Plan GA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.90 ,$545.00 ,No,H0710,033,0,5.0,,,,,,,,,,,,
Georgia,Wilcox,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Wilcox,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Wilcox,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Wilcox,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wilcox,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wilcox,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Wilcox,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Wilcox,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Wilcox,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Wilcox,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Wilcox,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Wilcox,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Wilcox,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Wilcox,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Wilcox,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Wilcox,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Wilcox,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Wilcox,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Wilcox,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Wilkes,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Wilkes,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Wilkes,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Wilkes,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Wilkes,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wilkes,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wilkes,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Wilkes,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Wilkes,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Wilkes,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Wilkes,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Wilkes,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Wilkes,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Wilkes,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Wilkes,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Wilkes,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Wilkes,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Wilkes,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Wilkes,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Wilkes,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Wilkes,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Wilkinson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Wilkinson,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Wilkinson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Wilkinson,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Wilkinson,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H2293,004,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wilkinson,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.30 ,$545.00 ,No,H2293,005,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Wilkinson,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Wilkinson,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Wilkinson,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Wilkinson,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.00 ,$545.00 ,No,H4036,032,0,4.0,,,,,,,,,,,,
Georgia,Wilkinson,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Wilkinson,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Wilkinson,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Wilkinson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Wilkinson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Wilkinson,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,007,0,3.5,,,,,,,,,,,,
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5422,015,0,3.5,,,,,*,,,,,,,
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H5422,018,0,3.5,,,,,,,,,,,,
Georgia,Wilkinson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5422,019,0,3.5,,,,,,,,,,,,
Georgia,Wilkinson,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H6672,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Wilkinson,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H6672,003,0,Not enough data available,,,,,,,,,,,,*
Georgia,Wilkinson,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Wilkinson,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Wilkinson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Wilkinson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Georgia,Worth,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H0111,004,0,2.5,,,,,,,,,,,,
Georgia,Worth,Wellcare,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.10 ,$545.00 ,No,H1112,006,0,3.5,,,,,,,,,,,,
Georgia,Worth,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.10 ,$545.00 ,No,H1112,033,0,3.5,,,,,,,,,,,,
Georgia,Worth,UnitedHealthcare,UHC Complete Care GA-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1889,020,0,4.5,,,,,,,,,,,,*
Georgia,Worth,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H2293,021,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Worth,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.80 ,$545.00 ,No,H2293,022,0,Plan too new to be measured,,,,,,,,,,,,
Georgia,Worth,UnitedHealthcare,UHC Dual Complete GA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.60 ,$545.00 ,No,H3256,001,0,4.5,,,,,,,,,,,,
Georgia,Worth,UnitedHealthcare,UHC Dual Complete GA-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H3256,002,0,4.5,,,,,,,,,,,,
Georgia,Worth,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H3291,001,0,Not enough data available,,,,,,,,,,,,
Georgia,Worth,PruittHealth Premier,PruittHealth Premier Advantage (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$20.00 ,$0.00 ,No,H3291,003,0,Not enough data available,,,,,,,,,,,,
Georgia,Worth,Humana,Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H4141,003,0,4.0,,,,,,,,,,,,
Georgia,Worth,Humana,HumanaChoice SNP-DE H5216-205 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,205,0,4.5,,,,,,,,,,,,
Georgia,Worth,Humana,HumanaChoice SNP-DE H5216-206 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.20 ,$545.00 ,No,H5216,206,0,4.5,,,,,,,,,,,,
Georgia,Worth,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.00 ,$545.00 ,No,H5216,242,0,4.5,,,,,,,,,,,,
Georgia,Worth,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,246,0,4.5,,,,,,,,,,*,,
Georgia,Worth,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H5302,013,0,4.0,,,,,,,,,,,,
Georgia,Worth,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.10 ,$545.00 ,No,H5302,020,0,4.0,,,,,,,,,,,,
Georgia,Worth,UnitedHealthcare,UHC Dual Complete GA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H5322,030,0,4.0,,,,,,,,,,,,
Georgia,Worth,Georgia Health Advantage,Georgia Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,001,0,4.0,,,,,,,,,,,,
Georgia,Worth,Georgia Health Advantage,Georgia Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.20 ,$545.00 ,No,H8093,002,0,4.0,,,,,,,,,,,,
Georgia,Worth,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
Georgia,Worth,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
Hawaii,Hawaii,UnitedHealthcare,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H2406,051,0,4.0,,,,,,,,,,,,
Hawaii,Hawaii,Wellcare,Wellcare 'Ohana Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H2491,004,0,3.0,,,,,,,,,,,,
Hawaii,Hawaii,Wellcare,Wellcare 'Ohana Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.40 ,$545.00 ,No,H2491,026,0,3.0,,,,,,,,,,,,
Hawaii,Hawaii,HMSA Akamai Advantage,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H3832,011,0,4.0,,,,,,,,,,,,
Hawaii,Hawaii,AlohaCare,AlohaCare Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.80 ,$545.00 ,No,H5969,002,0,3.0,,,,,,,,,,,,
Hawaii,Hawaii,AlohaCare,AlohaCare Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H5969,003,0,3.0,,,,,,,,,,,,
Hawaii,Hawaii,UnitedHealthcare,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,R3175,003,0,3.0,,,,,,,,,,,,
Hawaii,Honolulu,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.80 ,$545.00 ,No,H1230,008,0,4.0,,,,,,,,,,,,
Hawaii,Honolulu,UnitedHealthcare,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H2406,051,0,4.0,,,,,,,,,,,,
Hawaii,Honolulu,Wellcare,Wellcare 'Ohana Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H2491,004,0,3.0,,,,,,,,,,,,
Hawaii,Honolulu,Wellcare,Wellcare 'Ohana Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.40 ,$545.00 ,No,H2491,026,0,3.0,,,,,,,,,,,,
Hawaii,Honolulu,HMSA Akamai Advantage,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H3832,011,0,4.0,,,,,,,,,,,,
Hawaii,Honolulu,AlohaCare,AlohaCare Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.80 ,$545.00 ,No,H5969,002,0,3.0,,,,,,,,,,,,
Hawaii,Honolulu,AlohaCare,AlohaCare Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H5969,003,0,3.0,,,,,,,,,,,,
Hawaii,Honolulu,UnitedHealthcare,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,R3175,003,0,3.0,,,,,,,,,,,,
Hawaii,Kalawao,UnitedHealthcare,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H2406,051,0,4.0,,,,,,,,,,,,
Hawaii,Kalawao,HMSA Akamai Advantage,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H3832,011,0,4.0,,,,,,,,,,,,
Hawaii,Kalawao,AlohaCare,AlohaCare Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.80 ,$545.00 ,No,H5969,002,0,3.0,,,,,,,,,,,,
Hawaii,Kalawao,AlohaCare,AlohaCare Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H5969,003,0,3.0,,,,,,,,,,,,
Hawaii,Kalawao,UnitedHealthcare,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,R3175,003,0,3.0,,,,,,,,,,,,
Hawaii,Kauai,UnitedHealthcare,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H2406,051,0,4.0,,,,,,,,,,,,
Hawaii,Kauai,Wellcare,Wellcare 'Ohana Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H2491,004,0,3.0,,,,,,,,,,,,
Hawaii,Kauai,Wellcare,Wellcare 'Ohana Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.40 ,$545.00 ,No,H2491,026,0,3.0,,,,,,,,,,,,
Hawaii,Kauai,HMSA Akamai Advantage,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H3832,011,0,4.0,,,,,,,,,,,,
Hawaii,Kauai,AlohaCare,AlohaCare Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.80 ,$545.00 ,No,H5969,002,0,3.0,,,,,,,,,,,,
Hawaii,Kauai,AlohaCare,AlohaCare Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H5969,003,0,3.0,,,,,,,,,,,,
Hawaii,Kauai,UnitedHealthcare,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,R3175,003,0,3.0,,,,,,,,,,,,
Hawaii,Maui,Kaiser Permanente,Senior Advantage Medicare Medicaid (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.80 ,$545.00 ,No,H1230,008,0,4.0,,,,,,,,,,,,
Hawaii,Maui,UnitedHealthcare,UHC Dual Complete HI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H2406,051,0,4.0,,,,,,,,,,,,
Hawaii,Maui,Wellcare,Wellcare 'Ohana Dual Align (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H2491,004,0,3.0,,,,,,,,,,,,
Hawaii,Maui,Wellcare,Wellcare 'Ohana Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$27.40 ,$545.00 ,No,H2491,026,0,3.0,,,,,,,,,,,,
Hawaii,Maui,HMSA Akamai Advantage,HMSA Akamai Advantage Dual Care (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H3832,011,0,4.0,,,,,,,,,,,,
Hawaii,Maui,AlohaCare,AlohaCare Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.80 ,$545.00 ,No,H5969,002,0,3.0,,,,,,,,,,,,
Hawaii,Maui,AlohaCare,AlohaCare Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,H5969,003,0,3.0,,,,,,,,,,,,
Hawaii,Maui,UnitedHealthcare,UHC Dual Complete HI-S002 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.80 ,$545.00 ,No,R3175,003,0,3.0,,,,,,,,,,,,
Idaho,Ada,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Ada,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Ada,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Ada,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Ada,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Ada,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Adams,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Adams,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Adams,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bannock,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Bannock,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Bannock,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Bannock,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bannock,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Benewah,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Benewah,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bingham,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Bingham,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Bingham,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Bingham,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bingham,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Blaine,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Blaine,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Blaine,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Blaine,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Boise,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Boise,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Boise,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Boise,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Boise,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bonner,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Bonner,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Bonner,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Bonner,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bonner,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bonneville,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Bonneville,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Bonneville,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Bonneville,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Bonneville,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Bonneville,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Boundary,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Boundary,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Boundary,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Boundary,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Boundary,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Camas,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Canyon,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Canyon,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Canyon,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Canyon,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Canyon,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Canyon,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Cassia,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Cassia,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Cassia,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Cassia,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Cassia,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Cassia,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Clark,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Clark,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Clearwater,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Clearwater,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Elmore,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Elmore,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Elmore,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Elmore,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Elmore,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Fremont,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Fremont,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Fremont,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Fremont,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Gem,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Gem,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Gem,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Gem,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Gem,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Gem,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Gooding,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Gooding,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Gooding,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Gooding,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Idaho,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Jefferson,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Jefferson,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Jefferson,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Jefferson,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Jefferson,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Jerome,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Jerome,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Jerome,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Kootenai,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Kootenai,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Kootenai,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Kootenai,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Kootenai,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Latah,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Latah,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Latah,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Lincoln,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Lincoln,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Lincoln,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Lincoln,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Madison,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Madison,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Madison,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Madison,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Madison,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Minidoka,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Minidoka,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Minidoka,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Minidoka,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Minidoka,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Nez Perce,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Nez Perce,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Nez Perce,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Nez Perce,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Nez Perce,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Owyhee,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Owyhee,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Owyhee,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Owyhee,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Owyhee,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Owyhee,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Payette,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Payette,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Payette,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Payette,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Payette,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Payette,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Power,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Power,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Power,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Power,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Shoshone,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Shoshone,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Shoshone,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Twin Falls,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Twin Falls,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Twin Falls,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H5628,008,0,3.0,,,,,,,,,,,,
Idaho,Twin Falls,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H5628,011,0,3.0,,,,,,,,,,,,
Idaho,Twin Falls,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Twin Falls,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Valley,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Valley,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Valley,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Valley,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Washington,UnitedHealthcare,UHC Complete Care ID-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.20 ,$545.00 ,No,H0271,043,0,4.0,,,,,,,,,,,,*
Idaho,Washington,American Health Advantage of Utah,American Health Advantage of Idaho (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,003,0,Not enough data available,,,,,,,,,,,,
Idaho,Washington,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,001,0,Plan too new to be measured,,,,,,,,,,,,
Idaho,Washington,Blue Cross of Idaho,True Blue Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$44.40 ,$545.00 ,No,H9656,002,0,Plan too new to be measured,,,,,,,,,,,,
Illinois,Adams,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Alexander,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Bond,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Boone,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Boone,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Boone,Zing Health,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,010,0,3.0,,,,,,,,,,,,*
Illinois,Boone,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H4624,027,0,3.0,,,,,,,,,,,,*
Illinois,Boone,Zing Health,Zing Elite Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,028,0,3.0,,,,,,,,,,,,*
Illinois,Boone,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Brown,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Bureau,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Calhoun,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Carroll,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Cass,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Christian,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Clark,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Clay,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Clinton,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Clinton,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Coles,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Cook,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Cook,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Cook,UnitedHealthcare,UHC Care Advantage IL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.80 ,$0.00 ,No,H0710,055,0,5.0,,,,,,,,,,,,
Illinois,Cook,Humana,Humana Community HMO Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1468,017,0,4.5,,,,,,,,,,,,*
Illinois,Cook,UnitedHealthcare,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$21.00 ,$545.00 ,No,H2802,027,0,4.0,,,,,,,,,,,,
Illinois,Cook,Provider Partners Health Plans,Provider Partners Illinois Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H3800,001,0,3.0,,,,,,,,,,,,
Illinois,Cook,Zing Health,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,010,0,3.0,,,,,,,,,,,,*
Illinois,Cook,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H4624,027,0,3.0,,,,,,,,,,,,*
Illinois,Cook,Zing Health,Zing Elite Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,028,0,3.0,,,,,,,,,,,,*
Illinois,Cook,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,006,0,Not enough data available,,,,,,,,,,,,*
Illinois,Cook,Longevity Health,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H9590,001,0,Not enough data available,,,,,,,,,,,,
Illinois,Crawford,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Cumberland,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,De Witt,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,DeKalb,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,DeKalb,Zing Health,Zing Select Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7330,003,0,2.5,,,,,,,,,,,,*
Illinois,DeKalb,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H7330,007,0,2.5,,,,,,,,,,,,*
Illinois,Douglas,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,DuPage,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,DuPage,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,DuPage,UnitedHealthcare,UHC Care Advantage IL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.80 ,$0.00 ,No,H0710,055,0,5.0,,,,,,,,,,,,
Illinois,DuPage,Humana,Humana Community HMO Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1468,017,0,4.5,,,,,,,,,,,,*
Illinois,DuPage,UnitedHealthcare,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$21.00 ,$545.00 ,No,H2802,027,0,4.0,,,,,,,,,,,,
Illinois,DuPage,Provider Partners Health Plans,Provider Partners Illinois Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H3800,001,0,3.0,,,,,,,,,,,,
Illinois,DuPage,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,006,0,Not enough data available,,,,,,,,,,,,*
Illinois,DuPage,Zing Health,Zing Select Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7330,003,0,2.5,,,,,,,,,,,,*
Illinois,DuPage,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H7330,007,0,2.5,,,,,,,,,,,,*
Illinois,DuPage,Longevity Health,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H9590,001,0,Not enough data available,,,,,,,,,,,,
Illinois,Edgar,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Edwards,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Fayette,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Ford,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Franklin,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Fulton,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Greene,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Grundy,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Hamilton,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Hancock,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Henderson,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Henry,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Iroquois,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Jackson,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Jasper,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Jefferson,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Jersey,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Jo Daviess,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Kane,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Kane,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Kane,UnitedHealthcare,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$21.00 ,$545.00 ,No,H2802,027,0,4.0,,,,,,,,,,,,
Illinois,Kane,Provider Partners Health Plans,Provider Partners Illinois Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H3800,001,0,3.0,,,,,,,,,,,,
Illinois,Kane,Zing Health,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,010,0,3.0,,,,,,,,,,,,*
Illinois,Kane,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H4624,027,0,3.0,,,,,,,,,,,,*
Illinois,Kane,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,006,0,Not enough data available,,,,,,,,,,,,*
Illinois,Kane,Longevity Health,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H9590,001,0,Not enough data available,,,,,,,,,,,,
Illinois,Kankakee,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Kankakee,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,006,0,Not enough data available,,,,,,,,,,,,*
Illinois,Kankakee,Zing Health,Zing Select Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7330,003,0,2.5,,,,,,,,,,,,*
Illinois,Kankakee,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H7330,007,0,2.5,,,,,,,,,,,,*
Illinois,Kendall,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Knox,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,La Salle,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,La Salle,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,La Salle,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,006,0,Not enough data available,,,,,,,,,,,,*
Illinois,Lake,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Lake,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Lake,UnitedHealthcare,UHC Care Advantage IL-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.80 ,$0.00 ,No,H0710,055,0,5.0,,,,,,,,,,,,
Illinois,Lake,UnitedHealthcare,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$21.00 ,$545.00 ,No,H2802,027,0,4.0,,,,,,,,,,,,
Illinois,Lake,Provider Partners Health Plans,Provider Partners Illinois Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H3800,001,0,3.0,,,,,,,,,,,,
Illinois,Lake,Zing Health,Zing Select Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7330,003,0,2.5,,,,,,,,,,,,*
Illinois,Lake,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H7330,007,0,2.5,,,,,,,,,,,,*
Illinois,Lake,Longevity Health,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H9590,001,0,Not enough data available,,,,,,,,,,,,
Illinois,Lawrence,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Lee,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Livingston,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Logan,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Macon,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Macoupin,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Macoupin,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Madison,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Madison,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Marion,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Marshall,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Mason,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,McDonough,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,McHenry,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,McHenry,Provider Partners Health Plans,Provider Partners Illinois Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H3800,001,0,3.0,,,,,,,,,,,,
Illinois,McHenry,Zing Health,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,010,0,3.0,,,,,,,,,,,,*
Illinois,McHenry,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H4624,027,0,3.0,,,,,,,,,,,,*
Illinois,McHenry,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,006,0,Not enough data available,,,,,,,,,,,,*
Illinois,McLean,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,McLean,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Menard,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Mercer,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Monroe,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Montgomery,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Morgan,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Moultrie,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Ogle,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Ogle,Zing Health,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,010,0,3.0,,,,,,,,,,,,*
Illinois,Ogle,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H4624,027,0,3.0,,,,,,,,,,,,*
Illinois,Ogle,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Peoria,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Peoria,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Perry,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Piatt,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Pike,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Putnam,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Randolph,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Richland,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Rock Island,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Sangamon,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Schuyler,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Scott,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Shelby,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,St. Clair,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,St. Clair,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Stark,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Stephenson,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Stephenson,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Tazewell,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Tazewell,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Union,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Vermilion,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Wabash,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Warren,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Washington,UnitedHealthcare,UHC Complete Care ST-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$18.90 ,$545.00 ,No,H0271,026,0,4.0,,,,,,,,,,,,*
Illinois,Wayne,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,White,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Whiteside,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Will,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Will,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Will,Humana,Humana Community HMO Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1468,017,0,4.5,,,,,,,,,,,,*
Illinois,Will,UnitedHealthcare,UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$21.00 ,$545.00 ,No,H2802,027,0,4.0,,,,,,,,,,,,
Illinois,Will,Provider Partners Health Plans,Provider Partners Illinois Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H3800,001,0,3.0,,,,,,,,,,,,
Illinois,Will,Zing Health,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,010,0,3.0,,,,,,,,,,,,*
Illinois,Will,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H4624,027,0,3.0,,,,,,,,,,,,*
Illinois,Will,Zing Health,Zing Elite Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,028,0,3.0,,,,,,,,,,,,*
Illinois,Will,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,006,0,Not enough data available,,,,,,,,,,,,*
Illinois,Will,Longevity Health,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H9590,001,0,Not enough data available,,,,,,,,,,,,
Illinois,Winnebago,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Illinois,Winnebago,UnitedHealthcare,UHC Nursing Home Plan IL-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.60 ,$545.00 ,No,H0710,039,0,5.0,,,,,,,,,,,,
Illinois,Winnebago,Provider Partners Health Plans,Provider Partners Illinois Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$32.80 ,$545.00 ,No,H3800,001,0,3.0,,,,,,,,,,,,
Illinois,Winnebago,Zing Health,Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,010,0,3.0,,,,,,,,,,,,*
Illinois,Winnebago,Zing Health,Zing Select Diabetes & Heart Complete IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.80 ,$545.00 ,No,H4624,027,0,3.0,,,,,,,,,,,,*
Illinois,Winnebago,Zing Health,Zing Elite Diabetes & Heart IL (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,028,0,3.0,,,,,,,,,,,,*
Illinois,Winnebago,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H5454,005,0,Not enough data available,,,,,,,,,,,,*
Illinois,Woodford,UnitedHealthcare,UHC Complete Care IL-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$23.50 ,$545.00 ,No,H0271,027,0,4.0,,,,,,,,,,,,*
Indiana,Adams,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Adams,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Adams,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Adams,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Adams,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Adams,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Adams,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Adams,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Adams,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Adams,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Adams,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Adams,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Adams,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Allen,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Allen,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Allen,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Allen,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Allen,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Allen,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Allen,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Allen,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Allen,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Allen,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Allen,Zing Health,Zing Dual Complete Plus IN (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,016,0,3.0,,,,,,,,,,,,
Indiana,Allen,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Allen,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Allen,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Allen,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Allen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Allen,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Allen,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Allen,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Allen,American Health Advantage of Indiana,American Health Advantage of Indiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H9690,001,0,Plan too new to be measured,,,,,,,,,,,,
Indiana,Bartholomew,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Bartholomew,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Bartholomew,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Bartholomew,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Bartholomew,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Bartholomew,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Bartholomew,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Bartholomew,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Bartholomew,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Bartholomew,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Bartholomew,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Bartholomew,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Bartholomew,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Benton,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Benton,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Benton,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Benton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Benton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Benton,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Benton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Benton,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Benton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Benton,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Benton,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Benton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Benton,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Blackford,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Blackford,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Blackford,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Blackford,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Blackford,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Blackford,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Blackford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Blackford,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Blackford,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Blackford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Blackford,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Blackford,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Blackford,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Boone,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Boone,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Boone,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Boone,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Boone,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Boone,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Boone,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Boone,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Boone,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Boone,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Boone,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Boone,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Boone,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Boone,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Boone,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Boone,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Boone,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Boone,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Boone,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Brown,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Brown,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Brown,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Brown,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Brown,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Brown,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Brown,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Brown,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Brown,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Brown,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Brown,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Brown,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Brown,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Brown,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Carroll,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Carroll,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Carroll,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Carroll,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,008,0,3.5,,,,,,,,,,,,
Indiana,Carroll,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Carroll,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Carroll,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Carroll,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Carroll,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Carroll,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Carroll,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Carroll,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Carroll,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Carroll,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Cass,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Cass,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Cass,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Cass,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Cass,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Cass,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Cass,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Cass,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Cass,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Cass,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Cass,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Cass,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Cass,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Clark,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Clark,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Clark,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Clark,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Clark,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Clark,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Clark,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Clark,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Clark,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Clark,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Clark,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Clark,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Clark,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Clark,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Clark,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Clay,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Clay,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Clay,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Clay,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Clay,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Clay,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Clay,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Clay,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Clay,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Clay,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Clay,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Clay,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Clay,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Clay,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Clinton,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Clinton,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Clinton,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Clinton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Clinton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Clinton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Clinton,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Clinton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Clinton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Clinton,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Clinton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Clinton,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Clinton,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Clinton,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Crawford,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Crawford,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Crawford,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Crawford,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Crawford,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Crawford,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Crawford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Crawford,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Crawford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Crawford,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Crawford,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Crawford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Crawford,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Daviess,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Daviess,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Daviess,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Daviess,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Daviess,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Daviess,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Daviess,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Daviess,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Daviess,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Daviess,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Daviess,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Daviess,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Daviess,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,DeKalb,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,DeKalb,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,DeKalb,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,DeKalb,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,DeKalb,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,DeKalb,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,DeKalb,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,DeKalb,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,DeKalb,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,DeKalb,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,DeKalb,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,DeKalb,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,DeKalb,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,DeKalb,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Dearborn,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Dearborn,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Dearborn,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Dearborn,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Dearborn,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Dearborn,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Dearborn,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Dearborn,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Dearborn,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Dearborn,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Dearborn,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Dearborn,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Dearborn,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Decatur,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Decatur,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Decatur,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Decatur,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Decatur,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Decatur,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Decatur,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Decatur,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Decatur,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Decatur,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Decatur,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Decatur,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Decatur,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Delaware,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Delaware,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Delaware,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Delaware,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Delaware,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Delaware,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Delaware,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Delaware,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Delaware,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Delaware,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Delaware,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Delaware,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Delaware,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Delaware,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Delaware,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Dubois,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Dubois,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Dubois,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Dubois,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Dubois,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Dubois,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Dubois,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Dubois,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Dubois,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Dubois,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Dubois,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Dubois,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Dubois,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Dubois,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Elkhart,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Elkhart,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Elkhart,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Elkhart,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Elkhart,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Elkhart,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Elkhart,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Elkhart,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Elkhart,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Elkhart,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Elkhart,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Elkhart,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Elkhart,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Elkhart,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Elkhart,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Fayette,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Fayette,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Fayette,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Fayette,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Fayette,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Fayette,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Fayette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Fayette,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Fayette,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Fayette,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Fayette,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Fayette,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Fayette,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Fayette,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Fayette,American Health Advantage of Indiana,American Health Advantage of Indiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H9690,001,0,Plan too new to be measured,,,,,,,,,,,,
Indiana,Floyd,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Floyd,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Floyd,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Floyd,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Floyd,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Floyd,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Floyd,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Floyd,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Floyd,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Floyd,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Floyd,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Floyd,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Floyd,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Floyd,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Floyd,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Fountain,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Fountain,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Fountain,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Fountain,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Fountain,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Fountain,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Fountain,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Fountain,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Fountain,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Fountain,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Fountain,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Fountain,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Fountain,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Franklin,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Franklin,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Franklin,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Franklin,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Franklin,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Franklin,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Franklin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Franklin,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Franklin,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Franklin,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Franklin,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Fulton,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Fulton,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Fulton,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Fulton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,008,0,3.5,,,,,,,,,,,,
Indiana,Fulton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Fulton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Fulton,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Fulton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Fulton,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Fulton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Fulton,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Fulton,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Fulton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Fulton,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Gibson,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Gibson,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Gibson,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Gibson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Gibson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Gibson,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Gibson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Gibson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Gibson,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Gibson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Gibson,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Gibson,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Gibson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Grant,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Grant,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Grant,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Grant,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Grant,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Grant,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Grant,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Grant,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Grant,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Grant,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Grant,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Grant,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Grant,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Grant,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Grant,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Greene,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Greene,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Greene,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Greene,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Greene,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Greene,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Greene,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Greene,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Greene,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Greene,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Greene,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Greene,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Greene,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Hamilton,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Hamilton,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Hamilton,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Hamilton,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Hamilton,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Hamilton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Hamilton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Hamilton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Hamilton,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Hamilton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Hamilton,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,1,Not enough data available,,,,,,,,,,,,*
Indiana,Hamilton,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Hamilton,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Hamilton,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Hamilton,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Hamilton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Hamilton,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Hamilton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Hamilton,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Hamilton,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Hamilton,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Hamilton,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Hamilton,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Hamilton,American Health Advantage of Indiana,American Health Advantage of Indiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H9690,001,0,Plan too new to be measured,,,,,,,,,,,,
Indiana,Hancock,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Hancock,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Hancock,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Hancock,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Hancock,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Hancock,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Hancock,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Hancock,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Hancock,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Hancock,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,1,Not enough data available,,,,,,,,,,,,*
Indiana,Hancock,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Hancock,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Hancock,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Hancock,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Hancock,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Hancock,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Hancock,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Hancock,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Hancock,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Hancock,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Hancock,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Hancock,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Hancock,American Health Advantage of Indiana,American Health Advantage of Indiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H9690,001,0,Plan too new to be measured,,,,,,,,,,,,
Indiana,Harrison,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Harrison,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Harrison,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Harrison,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Harrison,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Harrison,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Harrison,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Harrison,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Harrison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Harrison,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Harrison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Harrison,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Harrison,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Harrison,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Hendricks,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Hendricks,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Hendricks,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Hendricks,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Hendricks,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Hendricks,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Hendricks,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Hendricks,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Hendricks,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Hendricks,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Hendricks,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,1,Not enough data available,,,,,,,,,,,,*
Indiana,Hendricks,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Hendricks,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Hendricks,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Hendricks,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Hendricks,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Hendricks,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Hendricks,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Hendricks,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Hendricks,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Hendricks,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Hendricks,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Hendricks,American Health Advantage of Indiana,American Health Advantage of Indiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H9690,001,0,Plan too new to be measured,,,,,,,,,,,,
Indiana,Henry,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Henry,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Henry,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Henry,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Henry,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Henry,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Henry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Henry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Henry,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Henry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Henry,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Henry,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Henry,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Howard,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Howard,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Howard,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Howard,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Howard,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Howard,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Howard,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Howard,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Howard,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Howard,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Howard,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Howard,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Howard,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Howard,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Howard,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Howard,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Huntington,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Huntington,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Huntington,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Huntington,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Huntington,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Huntington,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Huntington,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Huntington,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Huntington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Huntington,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Huntington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Huntington,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Huntington,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Huntington,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Jackson,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Jackson,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Jackson,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Jackson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Jackson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Jackson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Jackson,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Jackson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Jackson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Jackson,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Jackson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Jackson,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Jackson,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Jackson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Jasper,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Jasper,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Jasper,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Jasper,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Jasper,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Jasper,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Jasper,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Jasper,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Jasper,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Jasper,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Jasper,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Jasper,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Jasper,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Jay,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Jay,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Jay,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Jay,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Jay,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Jay,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Jay,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Jay,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Jay,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Jay,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Jay,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Jay,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Jay,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Jefferson,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Jefferson,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Jefferson,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Jefferson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Jefferson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Jefferson,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Jefferson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Jefferson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Jefferson,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Jefferson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Jefferson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Jennings,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Jennings,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Jennings,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Jennings,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Jennings,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Jennings,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Jennings,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Jennings,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Jennings,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Jennings,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Jennings,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Jennings,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Jennings,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Jennings,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Jennings,American Health Advantage of Indiana,American Health Advantage of Indiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H9690,001,0,Plan too new to be measured,,,,,,,,,,,,
Indiana,Johnson,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Johnson,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Johnson,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Johnson,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Johnson,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Johnson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Johnson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Johnson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Johnson,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Johnson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Johnson,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,1,Not enough data available,,,,,,,,,,,,*
Indiana,Johnson,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Johnson,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Johnson,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Johnson,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Johnson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Johnson,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Johnson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Johnson,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Johnson,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Johnson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Johnson,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Johnson,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Knox,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Knox,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Knox,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Knox,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Knox,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Knox,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Knox,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Knox,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Knox,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Knox,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Knox,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Knox,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Knox,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Kosciusko,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Kosciusko,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Kosciusko,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Kosciusko,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Kosciusko,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Kosciusko,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Kosciusko,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Kosciusko,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Kosciusko,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Kosciusko,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Kosciusko,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Kosciusko,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Kosciusko,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Kosciusko,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,La Porte,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,La Porte,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,La Porte,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,La Porte,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,La Porte,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,008,0,3.5,,,,,,,,,,,,
Indiana,La Porte,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,La Porte,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,La Porte,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,La Porte,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,La Porte,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,La Porte,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,La Porte,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,La Porte,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,La Porte,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,La Porte,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Lagrange,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Lagrange,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Lagrange,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Lagrange,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Lagrange,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Lagrange,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Lagrange,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Lagrange,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Lagrange,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Lagrange,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Lagrange,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Lagrange,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Lagrange,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Lake,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Lake,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Lake,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Lake,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Lake,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Lake,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,008,0,3.5,,,,,,,,,,,,
Indiana,Lake,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Lake,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Lake,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Lake,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Lake,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Lake,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Lake,Zing Health,Zing Dual Complete Plus IN (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,016,0,3.0,,,,,,,,,,,,
Indiana,Lake,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Lake,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Lake,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Lake,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Lake,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Lake,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Lake,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Lake,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Lake,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Lake,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Lawrence,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Lawrence,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Lawrence,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Lawrence,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Lawrence,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Lawrence,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Lawrence,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Lawrence,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Lawrence,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Lawrence,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Lawrence,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Lawrence,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Lawrence,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Lawrence,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Madison,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Madison,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Madison,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Madison,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Madison,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Madison,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Madison,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Madison,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Madison,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Madison,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Madison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Madison,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Madison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Madison,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Madison,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Madison,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Marion,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Marion,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Marion,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Marion,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Marion,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Marion,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Marion,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Marion,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,043,0,3.5,,,,,,,,,,,,*
Indiana,Marion,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Marion,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Marion,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Marion,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,1,Not enough data available,,,,,,,,,,,,*
Indiana,Marion,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H3727,002,1,Not enough data available,,,,,,,,,,,,
Indiana,Marion,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Marion,Zing Health,Zing Dual Complete Plus IN (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,016,0,3.0,,,,,,,,,,,,
Indiana,Marion,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Marion,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Marion,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Marion,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Marion,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Marion,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Marion,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Marion,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Marion,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Marion,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Marion,American Health Advantage of Indiana,American Health Advantage of Indiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.30 ,$545.00 ,No,H9690,001,0,Plan too new to be measured,,,,,,,,,,,,
Indiana,Marshall,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Marshall,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Marshall,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Marshall,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Marshall,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,008,0,3.5,,,,,,,,,,,,
Indiana,Marshall,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Marshall,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Marshall,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Marshall,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Marshall,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Marshall,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Marshall,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Marshall,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Marshall,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Marshall,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Martin,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Martin,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Martin,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Martin,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Martin,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Martin,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Martin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Martin,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Martin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Martin,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Martin,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Martin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Martin,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Miami,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Miami,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Miami,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Miami,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Miami,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Miami,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Miami,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Miami,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Miami,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Miami,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Miami,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Miami,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Miami,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Monroe,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Monroe,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Monroe,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Monroe,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Monroe,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Monroe,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Monroe,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Monroe,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Monroe,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Monroe,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Monroe,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Monroe,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Monroe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Monroe,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Monroe,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Monroe,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Montgomery,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Montgomery,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Montgomery,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Montgomery,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Montgomery,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Montgomery,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Montgomery,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Montgomery,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Montgomery,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Montgomery,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Montgomery,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Montgomery,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Montgomery,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Montgomery,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Morgan,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Morgan,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Morgan,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Morgan,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Morgan,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Morgan,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Morgan,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Morgan,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Morgan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Morgan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Morgan,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Morgan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Morgan,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Morgan,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Morgan,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Newton,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Newton,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Newton,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Newton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Newton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Newton,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Newton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Newton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Newton,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Newton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Newton,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Newton,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Newton,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Noble,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Noble,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Noble,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Noble,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Noble,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Noble,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Noble,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Noble,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Noble,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Noble,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Noble,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Noble,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Noble,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Noble,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Ohio,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Ohio,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Ohio,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Ohio,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Ohio,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Ohio,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Ohio,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Ohio,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Ohio,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Ohio,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Ohio,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Ohio,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Ohio,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Orange,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Orange,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Orange,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Orange,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Orange,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Orange,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Orange,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Orange,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Orange,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Orange,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Orange,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Orange,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Orange,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Owen,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Owen,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Owen,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Owen,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Owen,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Owen,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Owen,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Owen,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Owen,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Owen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Owen,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Owen,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Owen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Owen,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Parke,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Parke,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Parke,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Parke,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Parke,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Parke,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Parke,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Parke,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Parke,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Parke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Parke,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Parke,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Parke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Parke,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Perry,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Perry,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Perry,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Perry,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Perry,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Perry,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Perry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Perry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Perry,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Perry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Perry,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Perry,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Perry,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Pike,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Pike,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Pike,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Pike,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Pike,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Pike,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Pike,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Pike,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Pike,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Pike,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Pike,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Pike,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Pike,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Porter,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Porter,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Porter,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Porter,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Porter,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Porter,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,008,0,3.5,,,,,,,,,,,,
Indiana,Porter,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Porter,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Porter,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Porter,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Porter,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Porter,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Porter,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Porter,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Porter,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Porter,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Porter,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Porter,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Porter,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Porter,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Posey,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Posey,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Posey,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Posey,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Posey,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Posey,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Posey,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Posey,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Posey,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Posey,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Posey,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Posey,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Posey,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Pulaski,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Pulaski,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Pulaski,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Pulaski,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Pulaski,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Pulaski,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Pulaski,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Pulaski,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Pulaski,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Pulaski,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Pulaski,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Pulaski,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Pulaski,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Putnam,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Putnam,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Putnam,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Putnam,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Putnam,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Putnam,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Putnam,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Putnam,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Putnam,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Putnam,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Putnam,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Putnam,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Putnam,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Randolph,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Randolph,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Randolph,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Randolph,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Randolph,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Randolph,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Randolph,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Randolph,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Randolph,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Randolph,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Randolph,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Randolph,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Randolph,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Ripley,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Ripley,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Ripley,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Ripley,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Ripley,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Ripley,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Ripley,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Ripley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Ripley,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Ripley,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Ripley,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Ripley,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Ripley,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Rush,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Rush,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Rush,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Rush,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Rush,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Rush,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Rush,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Rush,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Rush,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Rush,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Rush,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Rush,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Rush,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Scott,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Scott,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Scott,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Scott,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Scott,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Scott,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Scott,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Scott,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Scott,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Scott,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Scott,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Scott,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Scott,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Shelby,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Shelby,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Shelby,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Shelby,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Shelby,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Shelby,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Shelby,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Shelby,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Shelby,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Shelby,Zing Health,Zing Select Diabetes & Heart IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,011,0,3.0,,,,,,,,,,,,*
Indiana,Shelby,Zing Health,Zing Select Diabetes & Heart Complete IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H4624,024,0,3.0,,,,,,,,,,,,*
Indiana,Shelby,Zing Health,Zing ESRD Select IN (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,025,0,3.0,,,,,*,,,,,,,
Indiana,Shelby,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Shelby,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Shelby,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Shelby,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Shelby,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Shelby,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Shelby,Zing Health,Zing Open Choice Diabetes & Heart IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,005,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Shelby,Zing Health,Zing Choice Diabetes & Heart Complete IN (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$42.30 ,$545.00 ,No,H6876,006,0,Plan too new to be measured,,,,,,,,,,,,*
Indiana,Spencer,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Spencer,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Spencer,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Spencer,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Spencer,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Spencer,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Spencer,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Spencer,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Spencer,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Spencer,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Spencer,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Spencer,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Spencer,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,St. Joseph,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,St. Joseph,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,St. Joseph,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,St. Joseph,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,St. Joseph,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,St. Joseph,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,008,0,3.5,,,,,,,,,,,,
Indiana,St. Joseph,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,St. Joseph,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,St. Joseph,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,St. Joseph,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,St. Joseph,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,St. Joseph,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,St. Joseph,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,St. Joseph,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,St. Joseph,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,St. Joseph,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Starke,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Starke,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Starke,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Starke,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Starke,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Starke,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Starke,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Starke,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Starke,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Starke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Starke,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Starke,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Starke,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Steuben,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Steuben,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Steuben,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Steuben,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Steuben,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Steuben,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Steuben,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Steuben,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Steuben,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Steuben,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Steuben,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Steuben,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Steuben,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Sullivan,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Sullivan,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Sullivan,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Sullivan,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Sullivan,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Sullivan,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Sullivan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Sullivan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Sullivan,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Sullivan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Sullivan,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Sullivan,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Sullivan,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Switzerland,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Switzerland,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Switzerland,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Switzerland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Switzerland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Switzerland,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Switzerland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Switzerland,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Switzerland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Switzerland,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Switzerland,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Switzerland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Switzerland,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Tippecanoe,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Tippecanoe,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Tippecanoe,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Tippecanoe,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Tippecanoe,UnitedHealthcare,UHC Care Advantage IN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$23.80 ,$0.00 ,No,H0710,061,0,5.0,,,,,,,,,,,,
Indiana,Tippecanoe,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Tippecanoe,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Tippecanoe,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Tippecanoe,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Tippecanoe,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Tippecanoe,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Tippecanoe,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Tippecanoe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Tippecanoe,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Tippecanoe,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Tippecanoe,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Tipton,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Tipton,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Tipton,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Tipton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Tipton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Tipton,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Tipton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Tipton,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Tipton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Tipton,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Tipton,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Tipton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Tipton,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Union,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Union,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Union,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Union,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Union,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Union,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Union,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Union,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Union,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Union,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Union,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Union,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Union,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Vanderburgh,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Vanderburgh,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Vanderburgh,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Vanderburgh,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Vanderburgh,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Vanderburgh,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Vanderburgh,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Vanderburgh,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Vanderburgh,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Vanderburgh,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Vanderburgh,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Vanderburgh,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Vanderburgh,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Vanderburgh,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Vermillion,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Vermillion,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Vermillion,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Vermillion,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Vermillion,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Vermillion,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Vermillion,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Vermillion,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Vermillion,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Vermillion,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Vermillion,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Vermillion,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Vermillion,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Vigo,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Vigo,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Vigo,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Vigo,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Vigo,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Vigo,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Vigo,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Vigo,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Vigo,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Vigo,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Vigo,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Vigo,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Vigo,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Vigo,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Wabash,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Wabash,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Wabash,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Wabash,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Wabash,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Wabash,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Wabash,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Wabash,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Wabash,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Wabash,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Wabash,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Wabash,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Wabash,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Wabash,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Warren,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Warren,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Warren,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Warren,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Warren,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Warren,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Warren,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Warren,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Warren,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Warren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Warren,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Warren,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Warren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$25.80 ,$545.00 ,No,H5619,160,0,4.0,,,,,,,,,,,,*
Indiana,Warren,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Warrick,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Warrick,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Warrick,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Warrick,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Warrick,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Warrick,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Warrick,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Warrick,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Warrick,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Warrick,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Warrick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Warrick,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Warrick,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Warrick,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Washington,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Washington,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Washington,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Washington,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Washington,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Washington,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Washington,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Washington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Washington,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Washington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Washington,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Washington,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Washington,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Wayne,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Wayne,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Wayne,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Wayne,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3192,009,0,3.5,,,,,,,,,,,,
Indiana,Wayne,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Wayne,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Wayne,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Wayne,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Wayne,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Wayne,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Wayne,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Wayne,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Wayne,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Wayne,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Wells,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Wells,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Wells,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Wells,UnitedHealthcare,UHC Nursing Home Plan IN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.80 ,$545.00 ,No,H0710,013,0,5.0,,,,,,,,,,,,
Indiana,Wells,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Wells,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Wells,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Wells,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Wells,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Wells,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Wells,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Wells,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Wells,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Wells,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,White,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,White,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,White,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,White,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,White,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,White,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,White,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,White,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,White,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,White,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,White,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,White,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,White,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Indiana,Whitley,UnitedHealthcare,UHC Dual Complete IN-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,005,0,4.0,,,,,,,,,,,,
Indiana,Whitley,UnitedHealthcare,UHC Dual Complete IN-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H0271,054,0,4.0,,,,,,,,,,,,
Indiana,Whitley,UnitedHealthcare,UHC Dual Complete IN-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H0271,063,0,4.0,,,,,,,,,,,,
Indiana,Whitley,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.40 ,$545.00 ,No,H3447,020,0,3.5,,,,,,,,,,,,
Indiana,Whitley,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3447,046,0,3.5,,,,,,,,,,,,
Indiana,Whitley,Anthem HealthKeepers,Anthem Full Dual Advantage Aligned (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H3447,048,0,3.5,,,,,,,,,,,,
Indiana,Whitley,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3499,005,0,3.0,,,,,,,,,,,,
Indiana,Whitley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.80 ,$545.00 ,No,H5216,400,0,4.5,,,,,,,,,,,,
Indiana,Whitley,Humana,Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,054,0,4.0,,,,,,,,,,,,
Indiana,Whitley,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Indiana,Whitley,Humana,Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,156,0,4.0,,,,,,,,,,,,
Indiana,Whitley,Humana,Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,158,0,4.0,,,,,,,,,,,,
Indiana,Whitley,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H6348,006,0,3.0,,,,,,,,,,,,
Iowa,Adair,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Adair,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Adair,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Adair,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Adams,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Adams,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Adams,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Allamakee,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Allamakee,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Allamakee,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Allamakee,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Appanoose,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Appanoose,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Appanoose,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Appanoose,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Audubon,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Audubon,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Benton,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Benton,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Benton,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Benton,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Benton,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Black Hawk,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Black Hawk,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Black Hawk,UnitedHealthcare,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,060,0,5.0,,,,,,,,,,,,
Iowa,Black Hawk,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Black Hawk,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Black Hawk,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Black Hawk,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Black Hawk,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Boone,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Boone,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Boone,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Boone,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Boone,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Boone,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Bremer,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Bremer,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Bremer,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Bremer,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Bremer,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Buchanan,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Buchanan,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Buchanan,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Buchanan,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Buchanan,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Buena Vista,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Buena Vista,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Buena Vista,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Buena Vista,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Buena Vista,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Butler,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Butler,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Butler,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Butler,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Butler,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Butler,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Calhoun,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Calhoun,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Calhoun,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Calhoun,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Carroll,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Carroll,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Carroll,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Carroll,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Cass,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Cass,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Cass,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Cass,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Cedar,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Cedar,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Cedar,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Cedar,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Cedar,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Cedar,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Cerro Gordo,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Cerro Gordo,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Cerro Gordo,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Cerro Gordo,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Cherokee,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Cherokee,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Cherokee,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Cherokee,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Cherokee,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Chickasaw,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Chickasaw,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Chickasaw,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Chickasaw,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Clarke,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Clarke,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Clarke,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Clarke,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Clay,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Clay,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Clay,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Clayton,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Clayton,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Clayton,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Clayton,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Clinton,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Clinton,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Clinton,UnitedHealthcare,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,060,0,5.0,,,,,,,,,,,,
Iowa,Clinton,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Clinton,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Clinton,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Clinton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Crawford,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Crawford,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Crawford,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Dallas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,057,0,4.0,,,,,,,,,,,,*
Iowa,Dallas,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Dallas,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Dallas,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Dallas,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Dallas,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Dallas,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Davis,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Davis,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Davis,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Decatur,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Decatur,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Decatur,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Delaware,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Delaware,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Delaware,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Delaware,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Delaware,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Des Moines,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Des Moines,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Des Moines,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Des Moines,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Dickinson,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Dickinson,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Dickinson,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Dickinson,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Dubuque,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Dubuque,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Dubuque,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Emmet,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Emmet,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Emmet,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Fayette,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Fayette,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Fayette,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Fayette,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Fayette,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Floyd,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Floyd,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Floyd,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Floyd,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Franklin,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Franklin,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Franklin,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Fremont,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Fremont,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Greene,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Greene,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Greene,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Grundy,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Grundy,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Grundy,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Grundy,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Guthrie,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Guthrie,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Guthrie,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Guthrie,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Hamilton,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Hamilton,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Hamilton,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Hamilton,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Hamilton,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Hancock,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Hancock,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Hancock,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Hardin,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Hardin,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Hardin,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Hardin,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Hardin,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Harrison,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Harrison,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Henry,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Henry,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Henry,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Henry,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Henry,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Howard,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Howard,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Howard,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Humboldt,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Humboldt,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Humboldt,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Ida,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Ida,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Ida,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Ida,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Iowa,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Iowa,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Iowa,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Iowa,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Jackson,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Jackson,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Jackson,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Jackson,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Jackson,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Jasper,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Jasper,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Jasper,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Jasper,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Jasper,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Jasper,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Jasper,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Jefferson,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Jefferson,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Jefferson,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Jefferson,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Johnson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,057,0,4.0,,,,,,,,,,,,*
Iowa,Johnson,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Johnson,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Johnson,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Johnson,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Johnson,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Johnson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Johnson,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Jones,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Jones,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Jones,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Jones,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Jones,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Keokuk,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Keokuk,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Keokuk,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Keokuk,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Kossuth,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Kossuth,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Kossuth,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Kossuth,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Lee,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Lee,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Lee,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Lee,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Linn,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,057,0,4.0,,,,,,,,,,,,*
Iowa,Linn,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Linn,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Linn,UnitedHealthcare,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,060,0,5.0,,,,,,,,,,,,
Iowa,Linn,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Linn,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Linn,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Linn,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Linn,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Louisa,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Louisa,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Louisa,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Louisa,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Louisa,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Lucas,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Lucas,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Lucas,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Lucas,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Lyon,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Lyon,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Lyon,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Lyon,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Lyon,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Madison,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Madison,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Madison,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Madison,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Madison,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Mahaska,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Mahaska,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Mahaska,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Mahaska,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Mahaska,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Marion,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Marion,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Marion,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Marion,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Marion,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Marion,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Marion,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Marshall,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Marshall,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Marshall,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Marshall,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Marshall,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Marshall,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Marshall,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Mills,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Mills,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Mills,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Mills,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Mitchell,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Mitchell,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Mitchell,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Mitchell,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Monona,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Monona,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Monona,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Monona,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Monroe,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Monroe,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Monroe,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Monroe,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Montgomery,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Montgomery,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Muscatine,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Muscatine,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Muscatine,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Muscatine,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Muscatine,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Muscatine,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,O'Brien,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,O'Brien,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,O'Brien,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Osceola,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Osceola,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Osceola,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Page,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Page,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Palo Alto,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Palo Alto,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Plymouth,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Plymouth,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Plymouth,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Plymouth,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Plymouth,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Plymouth,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Pocahontas,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Pocahontas,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Pocahontas,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Pocahontas,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Polk,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,057,0,4.0,,,,,,,,,,,,*
Iowa,Polk,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Polk,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Polk,UnitedHealthcare,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,060,0,5.0,,,,,,,,,,,,
Iowa,Polk,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Polk,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Polk,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Polk,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Polk,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Pottawattamie,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Pottawattamie,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Pottawattamie,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Pottawattamie,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Pottawattamie,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Poweshiek,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Poweshiek,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Poweshiek,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Poweshiek,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Poweshiek,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Ringgold,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Ringgold,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Sac,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Sac,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Sac,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Sac,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Scott,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Scott,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Scott,UnitedHealthcare,UHC Care Advantage IA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,060,0,5.0,,,,,,,,,,,,
Iowa,Scott,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Scott,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Scott,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Scott,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Scott,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Shelby,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Shelby,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Shelby,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Sioux,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Sioux,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Sioux,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Sioux,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Story,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Story,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Story,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Story,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Story,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Story,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Story,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Tama,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Tama,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Tama,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Tama,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Tama,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Taylor,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Taylor,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Union,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Union,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Union,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Van Buren,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Van Buren,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Van Buren,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Wapello,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Wapello,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Wapello,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Wapello,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Wapello,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Wapello,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Warren,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Warren,UnitedHealthcare,UHC Nursing Home Plan IA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.70 ,$545.00 ,No,H0710,046,0,5.0,,,,,,,,,,,,
Iowa,Warren,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Warren,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Warren,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Warren,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Warren,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Washington,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Washington,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Washington,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Washington,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Washington,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Wayne,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Wayne,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Wayne,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Wayne,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Webster,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Webster,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Webster,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Webster,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Webster,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Winnebago,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Winnebago,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Winnebago,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Winnebago,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Winnebago,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Winneshiek,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Winneshiek,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Winneshiek,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Woodbury,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Woodbury,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Woodbury,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Woodbury,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Woodbury,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5593,001,0,5.0,,,,,,,,,,,,
Iowa,Woodbury,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Worth,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Worth,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Iowa,Worth,Humana,HumanaChoice SNP-DE H5216-268 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,268,0,4.5,,,,,,,,,,,,
Iowa,Worth,Iowa Health Advantage,Iowa Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H6765,001,0,Plan too new to be measured,,,,,,,,,,,,
Iowa,Wright,UnitedHealthcare,UHC Dual Complete IA-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,001,0,5.0,,,,,,,,,,,,
Iowa,Wright,Wellpoint,Wellpoint Full Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.50 ,$545.00 ,No,H0907,001,0,3.5,,,,,,,,,,,,
Iowa,Wright,Wellpoint,Wellpoint Dual Advantage (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H0907,002,0,3.5,,,,,,,,,,,,
Kansas,Allen,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Allen,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Allen,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Allen,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Allen,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Allen,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Allen,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Allen,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Anderson,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Anderson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Anderson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Anderson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Anderson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Anderson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Atchison,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Atchison,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Atchison,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Atchison,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Atchison,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Atchison,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Atchison,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Atchison,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Barber,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Barber,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Bourbon,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Bourbon,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Bourbon,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Bourbon,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Bourbon,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Bourbon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Bourbon,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Bourbon,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Brown,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Brown,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Brown,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Brown,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Brown,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Butler,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Butler,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Butler,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Butler,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Butler,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Butler,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Butler,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Butler,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Chase,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Chase,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Chase,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Chase,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Chase,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Chase,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Chase,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Chase,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Chautauqua,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Chautauqua,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Chautauqua,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Chautauqua,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Chautauqua,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Chautauqua,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Chautauqua,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Chautauqua,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Cherokee,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Cherokee,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Cherokee,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Cherokee,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Cherokee,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Cherokee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Cherokee,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Cherokee,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Clay,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Clay,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Clay,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Cloud,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Coffey,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Coffey,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Coffey,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Coffey,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Cowley,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Cowley,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Cowley,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Cowley,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Cowley,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Cowley,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Cowley,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Cowley,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Crawford,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Crawford,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Crawford,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Crawford,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Crawford,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Crawford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Crawford,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Crawford,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Dickinson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Dickinson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,009,0,4.0,,,,,,,,,,,,
Kansas,Dickinson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Dickinson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Dickinson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Doniphan,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Doniphan,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Doniphan,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Doniphan,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Doniphan,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Doniphan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Doniphan,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Doniphan,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Douglas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Kansas,Douglas,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Douglas,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Douglas,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Douglas,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Douglas,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Douglas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Douglas,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Douglas,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Edwards,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Edwards,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Edwards,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Elk,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Elk,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Elk,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Elk,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Elk,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Elk,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Ellsworth,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Ellsworth,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Ellsworth,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Ellsworth,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Finney,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Finney,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Franklin,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Franklin,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Franklin,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Franklin,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Franklin,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Franklin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Franklin,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Franklin,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Geary,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Geary,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Geary,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Geary,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Geary,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Geary,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Geary,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Grant,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Grant,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Greenwood,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Greenwood,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Greenwood,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Greenwood,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Greenwood,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Greenwood,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Greenwood,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Greenwood,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Harper,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Harper,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Harper,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Harvey,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Harvey,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Harvey,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Harvey,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Harvey,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Harvey,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Harvey,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Harvey,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Jackson,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Jackson,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Jackson,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Jackson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Jackson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Jackson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Jackson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Jackson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Jefferson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Kansas,Jefferson,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Jefferson,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Jefferson,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Jefferson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Jefferson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Jefferson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Jefferson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Jefferson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Jewell,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Jewell,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Johnson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Kansas,Johnson,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Johnson,UnitedHealthcare,UHC Care Advantage KS-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H0710,062,0,5.0,,,,,,,,,,,,
Kansas,Johnson,UnitedHealthcare,UHC Nursing Home Plan KS-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.80 ,$545.00 ,No,H0710,063,0,5.0,,,,,,,,,,,,
Kansas,Johnson,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Johnson,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Johnson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Johnson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Johnson,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Kansas,Johnson,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Kansas,Johnson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Johnson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Johnson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Kearny,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Kearny,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Kingman,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Kingman,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Kingman,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Kingman,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Kingman,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Kingman,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Kingman,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Kingman,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Kiowa,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Kiowa,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Kiowa,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Labette,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Labette,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Labette,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Labette,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Labette,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Labette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Labette,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Labette,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Leavenworth,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Kansas,Leavenworth,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Leavenworth,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Leavenworth,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Leavenworth,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Leavenworth,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Leavenworth,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Leavenworth,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Leavenworth,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Lincoln,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Lincoln,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Linn,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Linn,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Linn,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Linn,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Linn,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Linn,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Lyon,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Lyon,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Lyon,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Lyon,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Lyon,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Lyon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Lyon,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Lyon,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Marion,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Marion,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Marion,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Marion,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Marion,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Marion,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Marshall,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,McPherson,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,McPherson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,McPherson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,009,0,4.0,,,,,,,,,,,,
Kansas,McPherson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,McPherson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,McPherson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Miami,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Kansas,Miami,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Miami,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Miami,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Miami,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Miami,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Miami,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Miami,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Miami,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Mitchell,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Mitchell,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Montgomery,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Montgomery,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Montgomery,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Montgomery,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Montgomery,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Montgomery,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Montgomery,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Montgomery,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Morris,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Morris,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Morris,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Morris,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Morris,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Morris,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Nemaha,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Nemaha,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Nemaha,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Nemaha,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Nemaha,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Nemaha,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Nemaha,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Neosho,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Neosho,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Neosho,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Neosho,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Neosho,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Neosho,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Neosho,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Neosho,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Osage,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Osage,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Osage,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Osage,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Osage,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Osage,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Osage,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Osage,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Osborne,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Osborne,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Ottawa,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Ottawa,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Ottawa,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Ottawa,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Pawnee,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Phillips,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Pottawatomie,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Pottawatomie,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Pottawatomie,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Pottawatomie,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Pottawatomie,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Pottawatomie,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Pratt,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Reno,Humana,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,056,0,4.0,,,,,,,,,,,,*
Kansas,Reno,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Reno,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Reno,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Reno,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Reno,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Reno,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Republic,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Republic,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Rice,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Rice,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Rice,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Riley,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Riley,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Riley,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Riley,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Riley,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Rooks,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Rush,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Russell,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Russell,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Russell,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Russell,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Saline,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Saline,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Saline,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Saline,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,009,0,4.0,,,,,,,,,,,,
Kansas,Saline,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Saline,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Saline,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Sedgwick,Humana,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,056,0,4.0,,,,,,,,,,,,*
Kansas,Sedgwick,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Sedgwick,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Sedgwick,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Sedgwick,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Sedgwick,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Sedgwick,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Sedgwick,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Sedgwick,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Shawnee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Kansas,Shawnee,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Shawnee,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Shawnee,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Shawnee,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Shawnee,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Shawnee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Shawnee,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Shawnee,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Smith,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Smith,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Stafford,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Stafford,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Sumner,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Sumner,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Sumner,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Sumner,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Sumner,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Sumner,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Sumner,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Sumner,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Wabaunsee,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Wabaunsee,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Wabaunsee,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Wabaunsee,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Wabaunsee,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Wabaunsee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Wabaunsee,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Wabaunsee,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Washington,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Washington,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Wilson,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Wilson,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Wilson,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Wilson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Wilson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Wilson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Wilson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Wilson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Woodson,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Woodson,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Woodson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5325,002,0,4.0,,,,,,,,,,,,
Kansas,Woodson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Woodson,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Woodson,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kansas,Wyandotte,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Kansas,Wyandotte,UnitedHealthcare,UHC Dual Complete KS-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H0169,004,0,5.0,,,,,,,,,,,,
Kansas,Wyandotte,UnitedHealthcare,UHC Nursing Home Plan KS-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.80 ,$545.00 ,No,H0710,063,0,5.0,,,,,,,,,,,,
Kansas,Wyandotte,Kansas Health Advantage,Kansas Health Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,001,0,Not enough data available,,,,,,,,,,,,
Kansas,Wyandotte,Kansas Health Advantage,Kansas Health Advantage Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.30 ,$545.00 ,No,H2392,003,0,Not enough data available,,,,,,,,,,,,
Kansas,Wyandotte,UnitedHealthcare,UHC Dual Complete KS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.30 ,$545.00 ,No,H5322,029,0,4.0,,,,,,,,,,,,
Kansas,Wyandotte,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H5325,001,0,4.0,,,,,,,,,,,,
Kansas,Wyandotte,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.40 ,$545.00 ,No,H6550,004,0,3.0,,,,,,,,,,,,
Kansas,Wyandotte,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.50 ,$545.00 ,No,H6550,009,0,3.0,,,,,,,,,,,,
Kansas,Wyandotte,Wellcare by Allwell,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$34.00 ,$545.00 ,No,H9387,004,0,2.5,,,,,,,,,,,,
Kentucky,Adair,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Adair,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Adair,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Adair,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Adair,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Adair,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Adair,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Adair,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Adair,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Adair,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Adair,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Adair,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Adair,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Adair,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Allen,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Allen,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Allen,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Allen,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Allen,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Allen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Allen,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Allen,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Allen,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Allen,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Allen,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Allen,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Anderson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Anderson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Anderson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Anderson,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Anderson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Anderson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Anderson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Anderson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Anderson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Anderson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Anderson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Ballard,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Ballard,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Ballard,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Ballard,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Ballard,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Ballard,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Ballard,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Ballard,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Ballard,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Ballard,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Ballard,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Ballard,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Barren,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Barren,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Barren,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Barren,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Barren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Barren,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Barren,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Barren,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Barren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Barren,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Barren,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Barren,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Barren,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Barren,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Barren,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Bath,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Bath,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Bath,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Bath,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Bath,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Bath,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Bath,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Bath,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Bath,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Bath,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Bath,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Bath,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Bath,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Bell,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Bell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Bell,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Bell,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Bell,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Bell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Bell,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Bell,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Bell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Bell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Bell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Bell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Boone,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Boone,UnitedHealthcare,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.40 ,$545.00 ,No,H0710,064,0,5.0,,,,,,,,,,,,
Kentucky,Boone,UnitedHealthcare,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.30 ,$0.00 ,No,H0710,071,0,5.0,,,,,,,,,,,,
Kentucky,Boone,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Boone,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Boone,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Boone,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Boone,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Kentucky,Boone,Humana,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.80 ,$545.00 ,No,H6622,018,0,4.0,,,,,,,,,,,,
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Boone,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Boone,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Boone,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Boone,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Bourbon,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Bourbon,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Bourbon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Bourbon,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Bourbon,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Bourbon,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Bourbon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Bourbon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Bourbon,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Boyd,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Boyd,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Boyd,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Boyd,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Boyd,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Boyd,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Boyd,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Boyd,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Boyle,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Boyle,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Boyle,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Boyle,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Boyle,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Boyle,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Boyle,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Boyle,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Boyle,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Boyle,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Boyle,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Boyle,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Boyle,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Boyle,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Boyle,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Bracken,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Bracken,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Bracken,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Bracken,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Bracken,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Bracken,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Bracken,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Bracken,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Bracken,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Breathitt,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Breathitt,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Breathitt,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Breathitt,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Breathitt,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Breathitt,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Breathitt,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Breathitt,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Breathitt,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Breathitt,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Breathitt,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Breathitt,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Breathitt,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Breckinridge,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Breckinridge,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Breckinridge,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Breckinridge,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Breckinridge,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Breckinridge,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Breckinridge,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Breckinridge,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Breckinridge,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Breckinridge,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Bullitt,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Bullitt,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Bullitt,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Bullitt,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Bullitt,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Bullitt,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Bullitt,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Bullitt,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Bullitt,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Butler,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Butler,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Butler,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Butler,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Butler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Butler,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Butler,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Butler,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Butler,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Butler,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Butler,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Butler,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Butler,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Butler,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Butler,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Caldwell,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Caldwell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Caldwell,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Caldwell,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Caldwell,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Caldwell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Caldwell,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Caldwell,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Caldwell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Caldwell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Caldwell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Caldwell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Calloway,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Calloway,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Calloway,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Calloway,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Calloway,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Calloway,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Calloway,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Calloway,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Calloway,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Calloway,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Calloway,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Calloway,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Campbell,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Campbell,UnitedHealthcare,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.40 ,$545.00 ,No,H0710,064,0,5.0,,,,,,,,,,,,
Kentucky,Campbell,UnitedHealthcare,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.30 ,$0.00 ,No,H0710,071,0,5.0,,,,,,,,,,,,
Kentucky,Campbell,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Campbell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Campbell,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Campbell,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Campbell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Kentucky,Campbell,Humana,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.80 ,$545.00 ,No,H6622,018,0,4.0,,,,,,,,,,,,
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Campbell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Campbell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Campbell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Campbell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Carlisle,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Carlisle,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Carlisle,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Carlisle,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Carlisle,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Carlisle,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Carlisle,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Carlisle,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Carlisle,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Carlisle,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Carlisle,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Carlisle,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Carroll,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Carroll,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Carroll,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Carroll,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Carroll,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Carroll,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Carroll,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Carroll,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Carroll,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Carroll,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Carroll,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Carter,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Carter,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Carter,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Carter,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Carter,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Carter,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Carter,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Carter,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Carter,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Carter,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Carter,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Carter,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Carter,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Carter,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Casey,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Casey,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Casey,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Casey,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Casey,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Casey,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Casey,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Casey,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Casey,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Casey,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Casey,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Casey,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Casey,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Casey,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Casey,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Christian,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Christian,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Christian,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Christian,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Christian,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Christian,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Christian,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Christian,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Christian,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Christian,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Christian,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Christian,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Christian,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Clark,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Clark,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Clark,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Clark,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Clark,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Clark,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Clark,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Clark,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Clark,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Clark,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Clark,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Clark,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Clark,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Clark,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Clark,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Clark,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Clay,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Clay,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Clay,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Clay,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Clay,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Clay,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Clay,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Clay,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Clay,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Clay,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Clay,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Clay,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Clinton,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Clinton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Clinton,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Clinton,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Clinton,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Clinton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Clinton,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Clinton,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Clinton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Clinton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Clinton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Clinton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Crittenden,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Crittenden,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Crittenden,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Crittenden,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Crittenden,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Crittenden,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Crittenden,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Crittenden,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Crittenden,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Crittenden,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Crittenden,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Crittenden,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Cumberland,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Cumberland,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Cumberland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Cumberland,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Cumberland,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Cumberland,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Cumberland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Cumberland,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Cumberland,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Cumberland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Cumberland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Cumberland,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Cumberland,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Daviess,UnitedHealthcare,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.40 ,$545.00 ,No,H0710,064,0,5.0,,,,,,,,,,,,
Kentucky,Daviess,UnitedHealthcare,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.30 ,$0.00 ,No,H0710,071,0,5.0,,,,,,,,,,,,
Kentucky,Daviess,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Daviess,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Daviess,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Daviess,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Daviess,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Daviess,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Daviess,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Daviess,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Daviess,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Daviess,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Daviess,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Daviess,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Daviess,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Daviess,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Edmonson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Edmonson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Edmonson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Edmonson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Edmonson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Edmonson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Edmonson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Edmonson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Edmonson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Edmonson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Elliott,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Elliott,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Elliott,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Elliott,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Elliott,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Elliott,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Elliott,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Elliott,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Elliott,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Elliott,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Elliott,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Elliott,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Elliott,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Estill,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Estill,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Estill,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Estill,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Estill,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Estill,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Estill,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Estill,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Estill,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Estill,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Estill,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Estill,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Estill,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Estill,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Fayette,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,UnitedHealthcare,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.40 ,$545.00 ,No,H0710,064,0,5.0,,,,,,,,,,,,
Kentucky,Fayette,UnitedHealthcare,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.30 ,$0.00 ,No,H0710,071,0,5.0,,,,,,,,,,,,
Kentucky,Fayette,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Fayette,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Fayette,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Fayette,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Fayette,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Fayette,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Fayette,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Fayette,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Fayette,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Fayette,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Fayette,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Fleming,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Fleming,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Fleming,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Fleming,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Fleming,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Fleming,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Fleming,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Fleming,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Fleming,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Fleming,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Fleming,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Fleming,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Fleming,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Floyd,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Floyd,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Floyd,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Floyd,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Floyd,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Floyd,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Floyd,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Floyd,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Franklin,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Franklin,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Franklin,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Franklin,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Franklin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Franklin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Franklin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Franklin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Fulton,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Fulton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Fulton,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Fulton,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Fulton,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Fulton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Fulton,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Fulton,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Fulton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Fulton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Fulton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Fulton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Gallatin,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Gallatin,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Gallatin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Gallatin,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Gallatin,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Gallatin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Gallatin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Gallatin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Gallatin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Garrard,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Garrard,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Garrard,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Garrard,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Garrard,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Garrard,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Garrard,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Garrard,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Garrard,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Garrard,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Garrard,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Garrard,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Garrard,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Garrard,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Grant,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Grant,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Grant,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Grant,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Grant,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Grant,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Grant,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Kentucky,Grant,Humana,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.80 ,$545.00 ,No,H6622,018,0,4.0,,,,,,,,,,,,
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Grant,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Grant,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Grant,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Grant,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Graves,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Graves,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Graves,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Graves,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Graves,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Graves,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Graves,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Graves,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Graves,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Graves,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Graves,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Graves,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Grayson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Grayson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Grayson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Grayson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Grayson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Grayson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Grayson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Grayson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Grayson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Grayson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Green,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Green,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Green,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Green,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Green,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Green,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Green,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Green,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Green,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Green,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Green,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Green,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Green,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Green,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Green,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Green,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Greenup,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Greenup,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Greenup,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Greenup,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Greenup,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Greenup,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Greenup,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Greenup,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Hancock,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Hancock,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Hancock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Hancock,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Hancock,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Hancock,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Hancock,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Hancock,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Hancock,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Hardin,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Hardin,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Hardin,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Hardin,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Hardin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Hardin,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Hardin,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Hardin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Hardin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Hardin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Hardin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Harlan,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Harlan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Harlan,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Harlan,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Harlan,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Harlan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Harlan,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Harlan,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Harlan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Harlan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Harlan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Harlan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Harrison,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Harrison,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Harrison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Harrison,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Harrison,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Harrison,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Harrison,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Harrison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Harrison,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Hart,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Hart,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Hart,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Hart,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Hart,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Hart,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Hart,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Hart,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Hart,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Hart,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Hart,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Hart,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Hart,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Hart,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Hart,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Henderson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Henderson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Henderson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$495.00 ,No,H5619,055,0,4.0,,,,,,,,,,,,*
Kentucky,Henderson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Henderson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Henderson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Henderson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Henderson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Henry,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Henry,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Henry,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Henry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Henry,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Henry,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Henry,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Henry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Henry,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Henry,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Henry,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Henry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Henry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Henry,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Hickman,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Hickman,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Hickman,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Hickman,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Hickman,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Hickman,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Hickman,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Hickman,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Hickman,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Hickman,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Hickman,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Hickman,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Hopkins,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Hopkins,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Hopkins,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Hopkins,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Hopkins,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Hopkins,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Hopkins,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Hopkins,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Jackson,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Jackson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Jackson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Jackson,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Jackson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Jackson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Jackson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Jackson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Jackson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Jackson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Jackson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Jackson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Jackson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Jackson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Jackson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Jefferson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,UnitedHealthcare,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.40 ,$545.00 ,No,H0710,064,0,5.0,,,,,,,,,,,,
Kentucky,Jefferson,UnitedHealthcare,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.30 ,$0.00 ,No,H0710,071,0,5.0,,,,,,,,,,,,
Kentucky,Jefferson,Humana,Humana Community HMO Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1036,234,0,5.0,,,,,,,,,,,,*
Kentucky,Jefferson,Humana,Humana Community HMO SNP-DE (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1036,235,0,5.0,,,,,,,,,,,,
Kentucky,Jefferson,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Jefferson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Jefferson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Jefferson,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Jefferson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Jefferson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,017,0,4.0,,,,,,,,,,,,*
Kentucky,Jefferson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Jefferson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Jefferson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Jessamine,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Jessamine,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Jessamine,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Jessamine,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Jessamine,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Jessamine,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Jessamine,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Jessamine,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Jessamine,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Johnson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Johnson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Johnson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Johnson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Johnson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Johnson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Johnson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Johnson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Johnson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Johnson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Johnson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Johnson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Kenton,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Kenton,UnitedHealthcare,UHC Nursing Home Plan KY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.40 ,$545.00 ,No,H0710,064,0,5.0,,,,,,,,,,,,
Kentucky,Kenton,UnitedHealthcare,UHC Care Advantage KY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.30 ,$0.00 ,No,H0710,071,0,5.0,,,,,,,,,,,,
Kentucky,Kenton,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Kenton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Kenton,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Kenton,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Kenton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Kentucky,Kenton,Humana,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.80 ,$545.00 ,No,H6622,018,0,4.0,,,,,,,,,,,,
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Kenton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Kenton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Kenton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Kenton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Knott,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Knott,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Knott,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Knott,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Knott,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Knott,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Knott,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Knott,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Knott,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Knott,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Knott,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Knott,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Knott,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Knox,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Knox,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Knox,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Knox,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Knox,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Knox,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Knox,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Knox,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Knox,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Knox,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Knox,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Knox,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Knox,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Larue,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Larue,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Larue,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Larue,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Larue,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Larue,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Larue,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Larue,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Larue,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Larue,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Larue,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Larue,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Larue,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Larue,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Larue,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Larue,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Laurel,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Laurel,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Laurel,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Laurel,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Laurel,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Laurel,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Laurel,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Laurel,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Lawrence,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Lawrence,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Lawrence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Lawrence,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Lawrence,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Lawrence,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Lawrence,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Lawrence,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Lawrence,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Lawrence,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Lawrence,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Lawrence,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Lawrence,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Lee,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Lee,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Lee,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Lee,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Lee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Lee,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Lee,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Lee,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Lee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Lee,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Lee,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Lee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Lee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Lee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Lee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Leslie,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Leslie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Leslie,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Leslie,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Leslie,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Leslie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Leslie,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Leslie,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Leslie,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Leslie,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Leslie,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Leslie,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Letcher,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Letcher,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Letcher,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Letcher,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Letcher,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Letcher,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Letcher,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Letcher,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Lewis,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Lewis,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Lewis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Lewis,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Lewis,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Lewis,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Lewis,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Lewis,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Lewis,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Lincoln,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Lincoln,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Lincoln,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Lincoln,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Lincoln,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Lincoln,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Lincoln,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Lincoln,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Lincoln,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Lincoln,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Lincoln,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Lincoln,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Livingston,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Livingston,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Livingston,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Livingston,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Livingston,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Livingston,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Livingston,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Livingston,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Livingston,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Livingston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Livingston,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Livingston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Logan,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Logan,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Logan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Logan,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Logan,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Logan,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Logan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Logan,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Logan,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Logan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Logan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Logan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Logan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Lyon,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Lyon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Lyon,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Lyon,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Lyon,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Lyon,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Lyon,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Lyon,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Lyon,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Lyon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Lyon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Lyon,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Madison,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Madison,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Madison,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Madison,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Madison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Madison,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Madison,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Madison,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Madison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Madison,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Madison,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Madison,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Madison,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Madison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Madison,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Magoffin,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Magoffin,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Magoffin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Magoffin,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Magoffin,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Magoffin,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Magoffin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Magoffin,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Magoffin,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Magoffin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Magoffin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Magoffin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Magoffin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Marion,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Marion,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Marion,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Marion,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Marion,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Marion,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Marion,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Marion,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Marion,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Marion,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Marion,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Marion,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Marion,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Marion,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Marshall,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Marshall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Marshall,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Marshall,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Marshall,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Marshall,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Marshall,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Marshall,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Marshall,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Marshall,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Marshall,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Marshall,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Martin,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Martin,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Martin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Martin,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Martin,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Martin,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Martin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Martin,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Martin,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Martin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Martin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Martin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Martin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Mason,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Mason,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Mason,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Mason,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Mason,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Mason,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Mason,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Mason,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Mason,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Mason,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Mason,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Mason,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Mason,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,McCracken,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,McCracken,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,McCracken,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,McCracken,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,McCracken,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,McCracken,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,McCracken,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,McCracken,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,McCreary,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,McCreary,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,McCreary,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,McCreary,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,McCreary,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,McCreary,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,McCreary,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,McCreary,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,McCreary,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,McLean,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,McLean,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,McLean,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,McLean,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,McLean,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,McLean,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,McLean,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,McLean,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,McLean,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,McLean,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,McLean,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,McLean,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,McLean,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,McLean,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,McLean,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Meade,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Meade,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Meade,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Meade,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Meade,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Meade,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Meade,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Meade,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Meade,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Meade,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Meade,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Meade,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Meade,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Meade,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Meade,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Menifee,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Menifee,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Menifee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Menifee,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Menifee,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Menifee,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Menifee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Menifee,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Menifee,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Menifee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Menifee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Menifee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Menifee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Mercer,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Mercer,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Mercer,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Mercer,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Mercer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Mercer,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Mercer,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Mercer,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Mercer,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Mercer,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Mercer,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Mercer,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Mercer,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Mercer,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Mercer,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Metcalfe,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Metcalfe,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Metcalfe,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Metcalfe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Metcalfe,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Metcalfe,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Metcalfe,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Metcalfe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Metcalfe,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Metcalfe,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Metcalfe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Metcalfe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Metcalfe,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Metcalfe,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Monroe,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Monroe,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Monroe,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Monroe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Monroe,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Monroe,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Monroe,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Monroe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Monroe,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Monroe,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Monroe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Monroe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Monroe,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Monroe,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Montgomery,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Montgomery,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Montgomery,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Montgomery,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Montgomery,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Montgomery,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Montgomery,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Morgan,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Morgan,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Morgan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Morgan,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Morgan,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Morgan,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Morgan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Morgan,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Morgan,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Morgan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Morgan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Morgan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Morgan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Muhlenberg,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Muhlenberg,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Muhlenberg,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Muhlenberg,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Muhlenberg,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Muhlenberg,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Muhlenberg,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Muhlenberg,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Nelson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Nelson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Nelson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Nelson,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Nelson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Nelson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Nelson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Nelson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Nelson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Nelson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Nelson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Nicholas,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Nicholas,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Nicholas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Nicholas,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Nicholas,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Nicholas,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Nicholas,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Nicholas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Nicholas,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Ohio,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Ohio,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Ohio,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Ohio,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Ohio,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Ohio,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Ohio,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Ohio,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Ohio,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Ohio,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Oldham,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Oldham,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Oldham,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Oldham,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Oldham,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Oldham,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Oldham,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Oldham,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Oldham,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Oldham,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Owen,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Owen,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Owen,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Owen,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Owen,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Owen,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Owen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Owen,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Owen,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Owen,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Owen,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Owen,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Owen,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Owsley,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Owsley,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Owsley,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Owsley,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Owsley,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Owsley,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Owsley,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Owsley,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Owsley,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Owsley,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Owsley,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Owsley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Owsley,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Pendleton,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Pendleton,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Pendleton,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Pendleton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Pendleton,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Pendleton,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Pendleton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Kentucky,Pendleton,Humana,Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.80 ,$545.00 ,No,H6622,018,0,4.0,,,,,,,,,,,,
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Pendleton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Pendleton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Pendleton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Pendleton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Perry,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Perry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Perry,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Perry,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Perry,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Perry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Perry,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Perry,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Perry,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Perry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Perry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Perry,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Pike,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Pike,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Pike,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Pike,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Pike,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Pike,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Pike,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Pike,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Pike,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Pike,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Pike,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Pike,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Pike,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Powell,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Powell,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Powell,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Powell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Powell,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Powell,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Powell,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Powell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Powell,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Powell,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Powell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Powell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Powell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Powell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Pulaski,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Pulaski,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Pulaski,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Pulaski,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Pulaski,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Pulaski,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Pulaski,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Pulaski,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Pulaski,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Robertson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Robertson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Robertson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Robertson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Robertson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Robertson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Robertson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Robertson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Robertson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Rockcastle,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Rockcastle,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Rockcastle,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Rockcastle,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Rockcastle,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Rockcastle,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Rockcastle,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Rockcastle,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Rockcastle,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Rockcastle,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Rockcastle,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Rockcastle,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Rockcastle,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Rockcastle,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Rockcastle,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Rowan,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Rowan,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Rowan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Rowan,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Rowan,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Rowan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Rowan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Rowan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Rowan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Russell,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Russell,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Russell,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Russell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Russell,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Russell,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Russell,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Russell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Russell,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Russell,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Russell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Russell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Russell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Russell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Scott,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Scott,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Scott,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Scott,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Scott,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Scott,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Scott,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Scott,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Scott,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Scott,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Scott,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Scott,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Scott,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Scott,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Scott,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Scott,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Shelby,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Shelby,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Shelby,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Shelby,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Shelby,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Shelby,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Shelby,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Shelby,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Shelby,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Shelby,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Simpson,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Simpson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Simpson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Simpson,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Simpson,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Simpson,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Simpson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Simpson,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Simpson,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Simpson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Simpson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Simpson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Simpson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Spencer,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Spencer,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Spencer,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Spencer,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Spencer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Spencer,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Spencer,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Spencer,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Spencer,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Spencer,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Spencer,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Taylor,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Taylor,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Taylor,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Taylor,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Taylor,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Taylor,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Taylor,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Taylor,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Taylor,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Todd,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Todd,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Todd,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Todd,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Todd,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Todd,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Todd,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Todd,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Todd,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Todd,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Todd,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Todd,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Todd,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Trigg,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Trigg,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Trigg,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Trigg,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Trigg,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Trigg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Trigg,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Trigg,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Trigg,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Trigg,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Trigg,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Trigg,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Trimble,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Trimble,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Trimble,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Trimble,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Trimble,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Trimble,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Trimble,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Trimble,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Trimble,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Trimble,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Trimble,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Union,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Union,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Union,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Union,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Union,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Union,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Union,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Union,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Union,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Union,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Union,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Union,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Union,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Union,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Union,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Union,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Warren,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Warren,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Warren,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Warren,Signature Advantage (HMO SNP),Signature Advantage Community (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H2400,002,0,3.0,,,,,,,,,,,,
Kentucky,Warren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Warren,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Warren,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Warren,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Warren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Warren,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Warren,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Warren,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Warren,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Warren,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Warren,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Washington,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Washington,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Washington,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Kentucky,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Washington,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Washington,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Washington,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Washington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Washington,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Washington,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Washington,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Washington,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Washington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Washington,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Wayne,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Wayne,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Wayne,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Wayne,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Wayne,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Wayne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Wayne,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Wayne,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Webster,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Webster,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Webster,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Webster,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Webster,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Webster,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Webster,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Webster,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Webster,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Webster,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Webster,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Webster,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Webster,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Webster,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Whitley,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Whitley,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Whitley,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Whitley,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Whitley,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Whitley,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Whitley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Whitley,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Wolfe,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Wolfe,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Wolfe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Wolfe,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Wolfe,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Wolfe,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Wolfe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Wolfe,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Wolfe,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Wolfe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Wolfe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Wolfe,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Wolfe,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Kentucky,Woodford,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.10 ,$545.00 ,No,H0628,012,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,Passport Advantage,Passport Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1799,001,0,3.5,,,,,,,,,,,,
Kentucky,Woodford,UnitedHealthcare,UHC Dual Complete KY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H1889,008,0,4.5,,,,,,,,,,,,
Kentucky,Woodford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H3975,004,0,3.5,,,,,,,,,,,,
Kentucky,Woodford,Humana,HumanaChoice SNP-DE H5525-045 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5525,045,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,Humana,Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,075,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,Humana,Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H5619,163,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5619,164,0,4.0,,,,,,,,,,,,*
Kentucky,Woodford,UnitedHealthcare,UHC Dual Complete KY-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,003,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,UnitedHealthcare,UHC Dual Complete KY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.30 ,$545.00 ,No,H6595,004,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9525,007,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9525,011,0,4.0,,,,,*,,,,,,,
Kentucky,Woodford,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.60 ,$545.00 ,No,H9525,016,0,4.0,,,,,,,,,,,,
Kentucky,Woodford,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.00 ,$545.00 ,No,H9730,003,0,3.5,,,,,,,,,,,,
Kentucky,Woodford,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.30 ,$545.00 ,No,H9730,004,0,3.5,,,,,,,,,,,,
Kentucky,Woodford,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H9730,011,0,3.5,,,,,,,,,,,,
Louisiana,Acadia,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Acadia,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Acadia,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Acadia,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Acadia,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Acadia,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Acadia,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Acadia,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Acadia,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Acadia,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Acadia,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Acadia,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Acadia,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Acadia,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Acadia,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Acadia,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Acadia,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Acadia,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Acadia,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Allen,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Allen,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Allen,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Allen,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Allen,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Allen,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Allen,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Allen,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Allen,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Allen,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Allen,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Allen,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Allen,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Allen,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Allen,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Allen,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Allen,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Allen,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Ascension,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Ascension,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Ascension,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Ascension,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Ascension,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Ascension,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Ascension,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Ascension,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Ascension,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Ascension,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Ascension,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Ascension,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Ascension,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Ascension,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Ascension,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Ascension,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Ascension,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Ascension,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Ascension,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Assumption,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Assumption,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Assumption,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Assumption,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Assumption,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Assumption,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Assumption,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Assumption,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Assumption,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Assumption,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Assumption,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Assumption,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Assumption,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Assumption,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Assumption,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Assumption,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Assumption,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Assumption,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Assumption,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Avoyelles,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Avoyelles,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Avoyelles,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Avoyelles,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Avoyelles,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Avoyelles,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Avoyelles,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Avoyelles,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Avoyelles,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Avoyelles,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Avoyelles,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Avoyelles,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Avoyelles,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Avoyelles,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Avoyelles,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Avoyelles,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Avoyelles,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Avoyelles,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Avoyelles,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Beauregard,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Beauregard,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Beauregard,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Beauregard,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Beauregard,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Beauregard,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Beauregard,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Beauregard,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Beauregard,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Beauregard,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Beauregard,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Beauregard,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Beauregard,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Beauregard,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Beauregard,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Beauregard,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Beauregard,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Beauregard,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Beauregard,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Bienville,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Bienville,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Bienville,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Bienville,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Bienville,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Bienville,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Bienville,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Bienville,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Bienville,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Bienville,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Bienville,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Bienville,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,006,0,4.0,,,,,,,,,,,,
Louisiana,Bienville,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Bienville,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Bienville,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Bienville,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Bienville,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Bienville,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Bienville,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Bossier,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Bossier,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Bossier,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Bossier,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Bossier,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Bossier,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Bossier,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Bossier,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Bossier,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Bossier,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Bossier,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Bossier,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,006,0,4.0,,,,,,,,,,,,
Louisiana,Bossier,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Bossier,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Bossier,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Bossier,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Bossier,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Bossier,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Bossier,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Caddo,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Caddo,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Caddo,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Caddo,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Caddo,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Caddo,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Caddo,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Caddo,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Caddo,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Caddo,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Caddo,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Caddo,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,006,0,4.0,,,,,,,,,,,,
Louisiana,Caddo,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Caddo,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Caddo,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Caddo,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Caddo,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Caddo,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Caddo,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Calcasieu,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Calcasieu,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Calcasieu,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Calcasieu,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Calcasieu,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Calcasieu,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Calcasieu,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Calcasieu,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Calcasieu,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Calcasieu,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Calcasieu,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Calcasieu,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Calcasieu,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Calcasieu,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Calcasieu,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Caldwell,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Caldwell,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Caldwell,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Caldwell,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Caldwell,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Caldwell,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Caldwell,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Caldwell,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Caldwell,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Caldwell,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Caldwell,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Caldwell,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Caldwell,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Cameron,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Cameron,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Cameron,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Cameron,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Cameron,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Cameron,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Cameron,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Cameron,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Cameron,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Cameron,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Cameron,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Cameron,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Cameron,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Cameron,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Cameron,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Cameron,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Catahoula,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Catahoula,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Catahoula,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Catahoula,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Catahoula,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Catahoula,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Catahoula,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Catahoula,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Catahoula,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Catahoula,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Catahoula,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Catahoula,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Catahoula,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Catahoula,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Claiborne,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Claiborne,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Claiborne,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Claiborne,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Claiborne,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Claiborne,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Claiborne,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Claiborne,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Claiborne,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Claiborne,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Claiborne,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Claiborne,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Claiborne,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Claiborne,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Concordia,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Concordia,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Concordia,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Concordia,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Concordia,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Concordia,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Concordia,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Concordia,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Concordia,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Concordia,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Concordia,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Concordia,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Concordia,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Concordia,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,De Soto,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,De Soto,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,De Soto,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,De Soto,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,De Soto,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,De Soto,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,De Soto,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,De Soto,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,De Soto,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,De Soto,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,De Soto,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,De Soto,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,006,0,4.0,,,,,,,,,,,,
Louisiana,De Soto,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,De Soto,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,De Soto,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,De Soto,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,De Soto,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,De Soto,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,De Soto,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,East Baton Rouge,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,East Baton Rouge,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,East Baton Rouge,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,East Carroll,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,East Carroll,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,East Carroll,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,East Carroll,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,East Carroll,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,East Carroll,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,East Carroll,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,East Carroll,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,East Carroll,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,East Carroll,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,East Carroll,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,East Feliciana,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,East Feliciana,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,East Feliciana,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,East Feliciana,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,East Feliciana,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,East Feliciana,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,East Feliciana,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,East Feliciana,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,East Feliciana,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,East Feliciana,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,East Feliciana,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,East Feliciana,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,East Feliciana,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,East Feliciana,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,East Feliciana,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,East Feliciana,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,East Feliciana,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Evangeline,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Evangeline,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Evangeline,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Evangeline,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Evangeline,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Evangeline,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Evangeline,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Evangeline,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Evangeline,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Evangeline,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Evangeline,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Evangeline,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Evangeline,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Evangeline,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Evangeline,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Evangeline,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Evangeline,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Evangeline,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Franklin,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Franklin,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Franklin,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Franklin,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Franklin,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Franklin,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Franklin,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Franklin,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Franklin,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Franklin,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Franklin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Franklin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Franklin,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Grant,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Grant,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Grant,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Grant,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Grant,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Grant,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Grant,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Grant,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Grant,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Grant,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Grant,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Grant,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Grant,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Grant,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Grant,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Grant,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Grant,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Iberia,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Iberia,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Iberia,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Iberia,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Iberia,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Iberia,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Iberia,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Iberia,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Iberia,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Iberia,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Iberia,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Iberia,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Iberia,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Iberia,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Iberia,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Iberia,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Iberia,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Iberia,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Iberville,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Iberville,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Iberville,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Iberville,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Iberville,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Iberville,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Iberville,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Iberville,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Iberville,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Iberville,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Iberville,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Iberville,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Iberville,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Iberville,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Iberville,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Iberville,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Iberville,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Iberville,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Iberville,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Jackson,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Jackson,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Jackson,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Jackson,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Jackson,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Jackson,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Jackson,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Jackson,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Jackson,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Jackson,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Jackson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Jackson,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Jackson,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Jackson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Jackson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Jackson,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Jefferson,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Jefferson,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1951,044,0,4.5,,,,,,,,,,,,*
Louisiana,Jefferson,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Jefferson,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Jefferson,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Jefferson,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Jefferson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Jefferson,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H3239,013,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Jefferson,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Jefferson Davis,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Jefferson Davis,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Jefferson Davis,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,LaSalle,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,LaSalle,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,LaSalle,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,LaSalle,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,LaSalle,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,LaSalle,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,LaSalle,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,LaSalle,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,LaSalle,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,LaSalle,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,LaSalle,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,LaSalle,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,LaSalle,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,LaSalle,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,LaSalle,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,LaSalle,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,LaSalle,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Lafayette,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Lafayette,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Lafayette,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Lafayette,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Lafayette,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Lafayette,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Lafayette,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Lafayette,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Lafayette,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Lafayette,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Lafayette,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Lafayette,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Lafayette,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Lafayette,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Lafayette,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Lafayette,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Lafayette,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Lafayette,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Lafayette,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Lafourche,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Lafourche,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Lafourche,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Lafourche,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Lafourche,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Lafourche,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Lafourche,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Lafourche,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Lafourche,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Lafourche,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Lafourche,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Lafourche,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Lafourche,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Lafourche,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H3239,013,0,4.0,,,,,,,,,,,,
Louisiana,Lafourche,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Lafourche,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Lafourche,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Lafourche,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Lafourche,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Lafourche,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Lincoln,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Lincoln,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Lincoln,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Lincoln,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Lincoln,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Lincoln,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Lincoln,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Lincoln,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Lincoln,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Lincoln,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Lincoln,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Lincoln,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Lincoln,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Lincoln,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Lincoln,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Livingston,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Livingston,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Livingston,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Livingston,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Livingston,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Livingston,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Livingston,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Livingston,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Livingston,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Livingston,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Livingston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Livingston,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Livingston,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Livingston,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Livingston,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Livingston,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Livingston,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Livingston,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Livingston,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Madison,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Madison,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Madison,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Madison,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Madison,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Madison,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Madison,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Madison,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Madison,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Madison,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Madison,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Madison,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Madison,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Morehouse,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Morehouse,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Morehouse,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Morehouse,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Morehouse,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Morehouse,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Morehouse,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Morehouse,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Morehouse,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Morehouse,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Morehouse,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Morehouse,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Morehouse,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Morehouse,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Natchitoches,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Natchitoches,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Natchitoches,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Natchitoches,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Natchitoches,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Natchitoches,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Natchitoches,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Natchitoches,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Natchitoches,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Natchitoches,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Natchitoches,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Natchitoches,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Natchitoches,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Natchitoches,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Natchitoches,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Natchitoches,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Natchitoches,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Natchitoches,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Natchitoches,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Orleans,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Orleans,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Orleans,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Orleans,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Orleans,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1951,044,0,4.5,,,,,,,,,,,,*
Louisiana,Orleans,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Orleans,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Orleans,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Orleans,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Orleans,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Orleans,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Orleans,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Orleans,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Orleans,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Orleans,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H3239,013,0,4.0,,,,,,,,,,,,
Louisiana,Orleans,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Orleans,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Orleans,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Orleans,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Orleans,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Orleans,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Ouachita,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Ouachita,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Ouachita,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Ouachita,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Ouachita,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Ouachita,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Ouachita,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Ouachita,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Ouachita,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Ouachita,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Ouachita,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Ouachita,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Ouachita,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Ouachita,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Ouachita,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Ouachita,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Plaquemines,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Plaquemines,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Plaquemines,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Plaquemines,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Plaquemines,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Plaquemines,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Plaquemines,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Plaquemines,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Plaquemines,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Plaquemines,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Plaquemines,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Plaquemines,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Plaquemines,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Plaquemines,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Plaquemines,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Plaquemines,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Plaquemines,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Plaquemines,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Plaquemines,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Pointe Coupee,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Pointe Coupee,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Pointe Coupee,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Rapides,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Rapides,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Rapides,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Rapides,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Rapides,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Rapides,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Rapides,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Rapides,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Rapides,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Rapides,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Rapides,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Rapides,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Rapides,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Rapides,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Rapides,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Rapides,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Rapides,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Rapides,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Rapides,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Red River,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Red River,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Red River,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Red River,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Red River,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Red River,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Red River,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Red River,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Red River,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Red River,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Red River,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Red River,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,006,0,4.0,,,,,,,,,,,,
Louisiana,Red River,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Red River,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Red River,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Red River,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Red River,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Red River,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Red River,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Richland,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Richland,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Richland,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Richland,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Richland,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Richland,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Richland,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Richland,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Richland,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Richland,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Richland,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Richland,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Richland,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Richland,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Sabine,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Sabine,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Sabine,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Sabine,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Sabine,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Sabine,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Sabine,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Sabine,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Sabine,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Sabine,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Sabine,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Sabine,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Sabine,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Sabine,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Sabine,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Sabine,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Sabine,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Sabine,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Sabine,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. Bernard,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. Bernard,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. Bernard,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. Bernard,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,St. Bernard,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. Bernard,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. Bernard,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. Bernard,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. Bernard,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. Bernard,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. Bernard,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. Bernard,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,St. Bernard,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. Bernard,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. Bernard,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,St. Bernard,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,St. Bernard,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,St. Bernard,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. Bernard,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. Charles,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. Charles,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. Charles,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. Charles,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,St. Charles,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. Charles,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. Charles,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. Charles,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. Charles,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. Charles,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. Charles,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. Charles,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,St. Charles,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. Charles,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H3239,013,0,4.0,,,,,,,,,,,,
Louisiana,St. Charles,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. Charles,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,St. Charles,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,St. Charles,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,St. Charles,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. Charles,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. Helena,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. Helena,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. Helena,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. Helena,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,St. Helena,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. Helena,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. Helena,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. Helena,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. Helena,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. Helena,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. Helena,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. Helena,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. Helena,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,St. Helena,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,St. Helena,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,St. Helena,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. Helena,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. James,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. James,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. James,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. James,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,St. James,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. James,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. James,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. James,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. James,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. James,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. James,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. James,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,St. James,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. James,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. James,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,St. James,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,St. James,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,St. James,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. James,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. John the Baptist,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,St. John the Baptist,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. John the Baptist,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. Landry,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. Landry,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. Landry,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. Landry,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,St. Landry,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. Landry,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. Landry,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. Landry,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. Landry,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. Landry,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. Landry,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. Landry,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,St. Landry,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. Landry,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. Landry,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,St. Landry,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,St. Landry,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,St. Landry,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. Landry,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. Martin,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. Martin,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. Martin,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. Martin,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,St. Martin,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. Martin,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. Martin,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. Martin,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. Martin,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. Martin,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. Martin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. Martin,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,St. Martin,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. Martin,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. Martin,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,St. Martin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,St. Martin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,St. Martin,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. Martin,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. Mary,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. Mary,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. Mary,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. Mary,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,St. Mary,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. Mary,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. Mary,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. Mary,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. Mary,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. Mary,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. Mary,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. Mary,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,St. Mary,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. Mary,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. Mary,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,St. Mary,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,St. Mary,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,St. Mary,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. Mary,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,St. Tammany,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,St. Tammany,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,St. Tammany,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,St. Tammany,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,St. Tammany,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,St. Tammany,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,St. Tammany,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,St. Tammany,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,St. Tammany,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,St. Tammany,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,St. Tammany,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,St. Tammany,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,St. Tammany,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,St. Tammany,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H3239,013,0,4.0,,,,,,,,,,,,
Louisiana,St. Tammany,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,St. Tammany,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,St. Tammany,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,St. Tammany,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,St. Tammany,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,St. Tammany,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Tangipahoa,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Tangipahoa,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Tangipahoa,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.20 ,$545.00 ,No,H2491,022,0,3.0,,,,,,,,,,,,
Louisiana,Tangipahoa,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Tangipahoa,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Tangipahoa,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Tangipahoa,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Tangipahoa,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Tangipahoa,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Tangipahoa,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Tangipahoa,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Tensas,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Tensas,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Tensas,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Tensas,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Tensas,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Tensas,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Tensas,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Tensas,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Tensas,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Tensas,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Tensas,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Tensas,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Tensas,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Terrebonne,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Terrebonne,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Terrebonne,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Terrebonne,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Terrebonne,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Terrebonne,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Terrebonne,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Terrebonne,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Terrebonne,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Terrebonne,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Terrebonne,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Terrebonne,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Terrebonne,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Terrebonne,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H3239,013,0,4.0,,,,,,,,,,,,
Louisiana,Terrebonne,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Terrebonne,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Terrebonne,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,Terrebonne,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,Terrebonne,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Terrebonne,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Union,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Union,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Union,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Union,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Union,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Union,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Union,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Union,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Union,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Union,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Union,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Union,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Union,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Union,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Vermilion,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Vermilion,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Vermilion,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Vermilion,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Vermilion,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Vermilion,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Vermilion,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Vermilion,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Vermilion,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Vermilion,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Vermilion,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Vermilion,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Vermilion,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Vermilion,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Vermilion,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Vermilion,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Vermilion,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Vermilion,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Vermilion,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Vernon,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Vernon,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Vernon,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Vernon,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Vernon,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Vernon,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Vernon,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Vernon,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Vernon,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Vernon,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Vernon,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Vernon,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Vernon,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Vernon,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Vernon,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Vernon,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Vernon,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Vernon,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Vernon,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Washington,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Washington,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Washington,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Washington,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,Washington,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Washington,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Washington,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Washington,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Washington,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Washington,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Washington,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Washington,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,Washington,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Washington,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Washington,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,Washington,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Washington,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Washington,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Washington,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Webster,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Webster,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Webster,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Webster,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Webster,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Webster,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Webster,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Webster,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Webster,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,006,0,4.0,,,,,,,,,,,,
Louisiana,Webster,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Webster,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Webster,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Webster,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Webster,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Webster,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Webster,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,West Baton Rouge,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3239,001,0,4.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,Aetna Medicare,Aetna Medicare Dual Signature Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.80 ,$545.00 ,No,H5521,472,0,4.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Aetna Medicare,Aetna Medicare Dual Signature Select (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H5521,473,0,4.0,,,,,,,,,,,,
Louisiana,West Baton Rouge,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,West Baton Rouge,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,West Carroll,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,West Carroll,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,West Carroll,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,West Carroll,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,West Carroll,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,West Carroll,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,West Carroll,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,West Carroll,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,West Carroll,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,West Carroll,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,West Carroll,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,West Carroll,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,West Carroll,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,West Feliciana,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,West Feliciana,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,West Feliciana,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,West Feliciana,Humana,Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,032,0,4.5,,,,,,,,,,,,
Louisiana,West Feliciana,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,West Feliciana,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,West Feliciana,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,West Feliciana,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,West Feliciana,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,West Feliciana,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,West Feliciana,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,West Feliciana,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,West Feliciana,Humana,HumanaChoice SNP-DE H5216-332 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,332,0,4.5,,,,,,,,,,,,
Louisiana,West Feliciana,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,West Feliciana,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,West Feliciana,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,West Feliciana,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Louisiana,Winn,UnitedHealthcare,UHC Dual Complete LA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1889,010,0,4.5,,,,,,,,,,,,
Louisiana,Winn,Healthy Blue,Healthy Blue Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.80 ,$545.00 ,No,H1947,001,0,3.5,,,,,,,,,,,,
Louisiana,Winn,Healthy Blue,Healthy Blue Enhanced Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H1947,003,0,3.5,,,,,,,,,,,,
Louisiana,Winn,Humana,Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,041,0,4.5,,,,,,,,,,,,
Louisiana,Winn,Humana,Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H1951,056,0,4.5,,,,,,,,,,,,
Louisiana,Winn,Humana,Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.20 ,$545.00 ,No,H1951,057,0,4.5,,,,,,,,,,,,
Louisiana,Winn,Peoples Health,Peoples Health Secure Health (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.00 ,$545.00 ,No,H1961,003,0,5.0,,,,,,,,,,,,
Louisiana,Winn,Peoples Health,Peoples Health Secure Complete (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.10 ,$545.00 ,No,H1961,019,0,5.0,,,,,,,,,,,,
Louisiana,Winn,Wellcare,Wellcare Dual Freedom Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.00 ,$545.00 ,No,H2491,011,0,3.0,,,,,,,,,,,,
Louisiana,Winn,Wellcare,Wellcare Dual Pinnacle Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H2491,012,0,3.0,,,,,,,,,,,,
Louisiana,Winn,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2491,025,0,3.0,,,,,,,,,,,,
Louisiana,Winn,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H3239,007,0,4.0,,,,,,,,,,,,
Louisiana,Winn,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,011,0,4.0,,,,,,,,,,,,
Louisiana,Winn,UnitedHealthcare,UHC Dual Complete LA-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5008,010,0,3.5,,,,,,,,,,,,
Louisiana,Winn,Humana,HumanaChoice SNP-DE H5216-330 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H5216,330,0,4.5,,,,,,,,,,,,
Louisiana,Winn,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,468,0,4.0,,,,,,,,,,,,
Louisiana,Winn,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$31.30 ,$545.00 ,No,H5521,469,0,4.0,,,,,,,,,,,,
Louisiana,Winn,Blue Cross and Blue Shield of Louisiana,Blue adVantage Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.30 ,$545.00 ,No,H6453,019,0,4.5,,,,,,,,,,,,
Louisiana,Winn,American Health Advantage of Louisiana,American Health Advantage of Louisiana (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H8492,001,0,Not enough data available,,,,,,,,,,,,
Maine,Androscoggin,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Androscoggin,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Androscoggin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Androscoggin,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Androscoggin,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Androscoggin,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Androscoggin,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Androscoggin,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Androscoggin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Androscoggin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Aroostook,UnitedHealthcare,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,020,0,4.0,,,,,,,,,,,,
Maine,Aroostook,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Aroostook,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Aroostook,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Aroostook,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Aroostook,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Aroostook,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Aroostook,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Aroostook,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Cumberland,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Cumberland,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Cumberland,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Maine,Cumberland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Cumberland,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Cumberland,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Cumberland,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Cumberland,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Cumberland,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Cumberland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Cumberland,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Franklin,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Franklin,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Franklin,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Maine,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Franklin,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Franklin,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Franklin,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Franklin,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Franklin,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Franklin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Franklin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Hancock,UnitedHealthcare,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,020,0,4.0,,,,,,,,,,,,
Maine,Hancock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Hancock,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Hancock,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Hancock,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Hancock,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Hancock,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Hancock,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Hancock,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Kennebec,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Kennebec,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Kennebec,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Maine,Kennebec,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Kennebec,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Kennebec,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Kennebec,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Kennebec,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Kennebec,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Kennebec,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Kennebec,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Knox,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Knox,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Knox,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Knox,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Knox,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Knox,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Knox,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Knox,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Knox,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Knox,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Lincoln,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Lincoln,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Lincoln,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Lincoln,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Lincoln,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Lincoln,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Lincoln,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Lincoln,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Lincoln,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Oxford,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Oxford,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Oxford,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Maine,Oxford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Oxford,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Oxford,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Oxford,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Oxford,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Oxford,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Oxford,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Oxford,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Penobscot,UnitedHealthcare,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,020,0,4.0,,,,,,,,,,,,
Maine,Penobscot,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Maine,Penobscot,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Penobscot,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Penobscot,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Penobscot,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Penobscot,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Penobscot,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Penobscot,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Penobscot,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Piscataquis,UnitedHealthcare,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,020,0,4.0,,,,,,,,,,,,
Maine,Piscataquis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Piscataquis,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Piscataquis,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Piscataquis,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Piscataquis,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Piscataquis,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Piscataquis,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Piscataquis,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Sagadahoc,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Sagadahoc,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Sagadahoc,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Sagadahoc,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Sagadahoc,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Sagadahoc,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Sagadahoc,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Sagadahoc,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Sagadahoc,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Sagadahoc,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Somerset,UnitedHealthcare,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,020,0,4.0,,,,,,,,,,,,
Maine,Somerset,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Maine,Somerset,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Somerset,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Somerset,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Somerset,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Somerset,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Somerset,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Somerset,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Somerset,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Waldo,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,Waldo,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,Waldo,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Waldo,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Waldo,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Waldo,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Waldo,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Waldo,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Waldo,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Waldo,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,Washington,UnitedHealthcare,UHC Northern Light Health Dual Complete ME-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,020,0,4.0,,,,,,,,,,,,
Maine,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,Washington,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,Washington,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,Washington,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,Washington,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,Washington,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,Washington,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,Washington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maine,York,UnitedHealthcare,UHC Dual Complete ME-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,006,0,4.0,,,,,,,,,,,,
Maine,York,UnitedHealthcare,UHC Dual Complete ME-S003 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H0271,065,0,4.0,,,,,,,,,,,,
Maine,York,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
Maine,York,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H2775,115,0,3.0,,,,,,,,,,,,
Maine,York,Aetna Medicare,Aetna Medicare Assure Plus Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,011,0,4.0,,,,,,,,,,,,
Maine,York,Aetna Medicare,Aetna Medicare Assure Plan (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H3597,012,0,4.0,,,,,,,,,,,,
Maine,York,Humana,HumanaChoice SNP-DE H5216-291 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5216,291,0,4.5,,,,,,,,,,,,
Maine,York,Humana,Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H5619,003,0,4.0,,,,,,,,,,,,
Maine,York,AMH Health,Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.30 ,$545.00 ,No,H9065,001,0,3.5,,,,,,,,,,,,
Maine,York,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.00 ,$545.00 ,No,H9364,002,0,3.5,,,,,,,,,,,,
Maine,York,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H9364,003,0,3.5,,,,,,,,,,,,
Maryland,Allegany,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Allegany,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Allegany,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Allegany,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Anne Arundel,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Anne Arundel,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Anne Arundel,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Anne Arundel,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$78.00 ,$0.00 ,No,H2108,030,0,3.0,,,,*,,,,,,,,
Maryland,Anne Arundel,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H2108,041,0,3.0,,,,,,,,,,,,
Maryland,Anne Arundel,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.60 ,$545.00 ,No,H2108,043,2,3.0,,,,,,,,,,,,
Maryland,Anne Arundel,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Anne Arundel,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,2,Not enough data available,,,,,,,,,,,,*
Maryland,Anne Arundel,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H3727,002,2,Not enough data available,,,,,,,,,,,,
Maryland,Anne Arundel,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Anne Arundel,Humana,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.70 ,$545.00 ,No,H6622,086,0,4.0,,,,,,,,,,,,
Maryland,Anne Arundel,KeyCare Advantage,KeyCare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H6959,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Anne Arundel,KeyCare Advantage,KeyCare Advantage Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$300.00 ,No,H6959,002,0,Not enough data available,,,,,,,,,,,,*
Maryland,Anne Arundel,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Anne Arundel,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Anne Arundel,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Anne Arundel,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Anne Arundel,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Anne Arundel,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Anne Arundel,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Anne Arundel,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Baltimore,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Baltimore,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Baltimore,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Baltimore,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$78.00 ,$0.00 ,No,H2108,030,0,3.0,,,,*,,,,,,,,
Maryland,Baltimore,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H2108,041,0,3.0,,,,,,,,,,,,
Maryland,Baltimore,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.60 ,$545.00 ,No,H2108,043,2,3.0,,,,,,,,,,,,
Maryland,Baltimore,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Baltimore,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,2,Not enough data available,,,,,,,,,,,,*
Maryland,Baltimore,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H3727,002,2,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Baltimore,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Maryland,Baltimore,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Maryland,Baltimore,Humana,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.70 ,$545.00 ,No,H6622,086,0,4.0,,,,,,,,,,,,
Maryland,Baltimore,KeyCare Advantage,KeyCare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H6959,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore,KeyCare Advantage,KeyCare Advantage Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$300.00 ,No,H6959,002,0,Not enough data available,,,,,,,,,,,,*
Maryland,Baltimore,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,2,3.5,,,,,,,,,,,,
Maryland,Baltimore,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Baltimore,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Baltimore,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Baltimore,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Baltimore,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Baltimore City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Baltimore City,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Baltimore City,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$78.00 ,$0.00 ,No,H2108,030,0,3.0,,,,*,,,,,,,,
Maryland,Baltimore City,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H2108,041,0,3.0,,,,,,,,,,,,
Maryland,Baltimore City,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.60 ,$545.00 ,No,H2108,043,2,3.0,,,,,,,,,,,,
Maryland,Baltimore City,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Baltimore City,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,2,Not enough data available,,,,,,,,,,,,*
Maryland,Baltimore City,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H3727,002,2,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore City,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Baltimore City,Humana,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.70 ,$545.00 ,No,H6622,086,0,4.0,,,,,,,,,,,,
Maryland,Baltimore City,KeyCare Advantage,KeyCare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H6959,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore City,KeyCare Advantage,KeyCare Advantage Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$300.00 ,No,H6959,002,0,Not enough data available,,,,,,,,,,,,*
Maryland,Baltimore City,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,2,3.5,,,,,,,,,,,,
Maryland,Baltimore City,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Baltimore City,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Baltimore City,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore City,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Baltimore City,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Baltimore City,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Baltimore City,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Calvert,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Calvert,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Calvert,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Calvert,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Calvert,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Caroline,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Caroline,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Caroline,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Caroline,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Caroline,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Caroline,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Caroline,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Caroline,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Caroline,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Carroll,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Carroll,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Carroll,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Carroll,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H3727,002,2,Not enough data available,,,,,,,,,,,,
Maryland,Carroll,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Carroll,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Carroll,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,2,3.5,,,,,,,,,,,,
Maryland,Carroll,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Carroll,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Carroll,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Carroll,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Carroll,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Carroll,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Carroll,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Cecil,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Cecil,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,2,3.5,,,,,,,,,,,,
Maryland,Cecil,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Cecil,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Cecil,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Cecil,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Cecil,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Charles,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Charles,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Charles,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Charles,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Charles,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Charles,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Charles,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Charles,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Charles,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Dorchester,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Dorchester,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Dorchester,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Dorchester,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Dorchester,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Dorchester,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Dorchester,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Dorchester,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Dorchester,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Frederick,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Frederick,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Frederick,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Frederick,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Frederick,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Frederick,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Frederick,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Frederick,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Frederick,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Frederick,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Frederick,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Frederick,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Frederick,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Frederick,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Garrett,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Garrett,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Garrett,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Garrett,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Garrett,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Garrett,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Garrett,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Harford,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Harford,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$78.00 ,$0.00 ,No,H2108,030,0,3.0,,,,*,,,,,,,,
Maryland,Harford,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.70 ,$545.00 ,No,H2108,041,0,3.0,,,,,,,,,,,,
Maryland,Harford,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.60 ,$545.00 ,No,H2108,043,2,3.0,,,,,,,,,,,,
Maryland,Harford,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Harford,Humana,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.70 ,$545.00 ,No,H6622,086,0,4.0,,,,,,,,,,,,
Maryland,Harford,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,2,3.5,,,,,,,,,,,,
Maryland,Harford,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Harford,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Harford,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Harford,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Harford,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Harford,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Harford,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Howard,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Howard,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Howard,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Howard,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H3727,002,2,Not enough data available,,,,,,,,,,,,
Maryland,Howard,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Howard,Humana,Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.70 ,$545.00 ,No,H6622,086,0,4.0,,,,,,,,,,,,
Maryland,Howard,KeyCare Advantage,KeyCare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H6959,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Howard,KeyCare Advantage,KeyCare Advantage Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$300.00 ,No,H6959,002,0,Not enough data available,,,,,,,,,,,,*
Maryland,Howard,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Howard,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Howard,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Howard,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Howard,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Howard,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Howard,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Howard,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Kent,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Kent,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Kent,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Kent,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Kent,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Kent,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Kent,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Kent,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Kent,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Montgomery,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Care Advantage MD-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$31.70 ,$200.00 ,No,H2406,032,0,4.0,,,,,,,,,,,,
Maryland,Montgomery,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H3727,002,2,Not enough data available,,,,,,,,,,,,
Maryland,Montgomery,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H3931,159,0,4.0,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Dual Complete MD-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H4094,001,0,3.5,,,,,,,,,,,,
Maryland,Montgomery,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Montgomery,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Montgomery,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Montgomery,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Montgomery,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,UHC Care Advantage MD-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$31.70 ,$200.00 ,No,H2406,032,0,4.0,,,,,,,,,,,,
Maryland,Prince George's,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H3727,002,2,Not enough data available,,,,,,,,,,,,
Maryland,Prince George's,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Prince George's,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Prince George's,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Prince George's,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Prince George's,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Queen Anne's,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Queen Anne's,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Queen Anne's,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Queen Anne's,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Queen Anne's,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Queen Anne's,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Queen Anne's,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Queen Anne's,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Somerset,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Somerset,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Somerset,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Somerset,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Somerset,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Somerset,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Somerset,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Somerset,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Somerset,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,St. Mary's,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,St. Mary's,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,St. Mary's,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,St. Mary's,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Talbot,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Talbot,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Talbot,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Talbot,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Talbot,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Talbot,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Talbot,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Talbot,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Talbot,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Talbot,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Talbot,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Washington,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Washington,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Washington,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Maryland,Washington,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Washington,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Washington,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Washington,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Washington,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Washington,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Washington,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Washington,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Washington,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Wicomico,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Maryland,Wicomico,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Wicomico,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Wicomico,UnitedHealthcare,UHC Dual Complete MD-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,008,1,3.5,,,,,,,,,,,,
Maryland,Wicomico,UnitedHealthcare,UHC Dual Complete MD-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H7464,011,0,3.5,,,,,,,,,,,,
Maryland,Wicomico,UnitedHealthcare,UHC Dual Complete MD-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H7464,012,0,3.5,,,,,,,,,,,,
Maryland,Wicomico,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Wicomico,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Wicomico,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Maryland,Worcester,Johns Hopkins Advantage MD,Johns Hopkins Advantage MD D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H1225,003,0,3.0,,,,,,,,,,,,
Maryland,Worcester,Humana,HumanaChoice SNP-DE H5216-377 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5216,377,0,4.5,,,,,,,,,,,,
Maryland,Worcester,Provider Partners Health Plans,Provider Partners Maryland Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.30 ,$545.00 ,No,H8067,001,0,Not enough data available,,,,,,,,,,,,
Maryland,Worcester,Provider Partners Health Plans,Provider Partners Maryland Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H8067,003,0,Not enough data available,,,,,,,,,,,,
Maryland,Worcester,CareFirst BlueCross BlueShield Medicare Advantage,CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.20 ,$545.00 ,No,H8854,002,0,3.5,,,,,,,,,,,,
Maryland,Worcester,Alterwood Advantage,Alterwood Advantage Dual Secure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,004,0,2.5,,,,,,,,,,,,
Maryland,Worcester,Alterwood Advantage,Alterwood Advantage Dual Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H9306,007,0,2.5,,,,,,,,,,,,
Massachusetts,Barnstable,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Barnstable,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Barnstable,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Barnstable,WellSense Health Plan,WellSense Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H9585,001,0,4.0,,,,,,,,,,,,
Massachusetts,Barnstable,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Berkshire,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Bristol,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Bristol,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Bristol,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Bristol,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Bristol,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Bristol,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Bristol,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Bristol,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Bristol,WellSense Health Plan,WellSense Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H9585,001,0,4.0,,,,,,,,,,,,
Massachusetts,Bristol,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Essex,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Essex,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Essex,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Essex,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Essex,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Essex,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Massachusetts,Essex,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Massachusetts,Essex,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Essex,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Essex,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Essex,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Franklin,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Franklin,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Franklin,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Franklin,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Hampden,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Hampden,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Hampden,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Hampden,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Hampden,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Hampden,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Hampden,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Hampden,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Hampden,WellSense Health Plan,WellSense Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H9585,001,0,4.0,,,,,,,,,,,,
Massachusetts,Hampden,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Hampshire,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Hampshire,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Hampshire,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Hampshire,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Hampshire,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Hampshire,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Middlesex,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Middlesex,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Middlesex,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Middlesex,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Middlesex,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Middlesex,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Middlesex,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Middlesex,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Middlesex,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Norfolk,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Norfolk,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Norfolk,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Norfolk,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Norfolk,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Norfolk,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Norfolk,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Norfolk,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Norfolk,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Plymouth,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Plymouth,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Plymouth,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Plymouth,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Plymouth,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Plymouth,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Massachusetts,Plymouth,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Massachusetts,Plymouth,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Plymouth,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Plymouth,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Plymouth,WellSense Health Plan,WellSense Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H9585,001,0,4.0,,,,,,,,,,,,
Massachusetts,Plymouth,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Suffolk,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Suffolk,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Suffolk,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Suffolk,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Suffolk,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Suffolk,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Suffolk,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Suffolk,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Suffolk,WellSense Health Plan,WellSense Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H9585,001,0,4.0,,,,,,,,,,,,
Massachusetts,Suffolk,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Massachusetts,Worcester,Senior Whole Health,Senior Whole Health (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.20 ,$545.00 ,No,H2224,001,0,3.5,,,,,,,,,,,,
Massachusetts,Worcester,Senior Whole Health,Senior Whole Health NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$16.40 ,$545.00 ,No,H2224,003,0,3.5,,,,,,,,,,,,
Massachusetts,Worcester,Commonwealth Care Alliance Massachusetts,CCA Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,AE,$43.50 ,$545.00 ,No,H2225,001,0,4.0,,,,,,,,,,,,
Massachusetts,Worcester,UnitedHealthcare,UHC Senior Care Options MA-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$26.90 ,$545.00 ,No,H2226,001,0,4.5,,,,,,,,,,,,
Massachusetts,Worcester,UnitedHealthcare,UHC Senior Care Options NHC MA-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$31.70 ,$545.00 ,No,H2226,003,0,4.5,,,,,,,,,,,,
Massachusetts,Worcester,Tufts Health Plan,Tufts Health Plan Senior Care Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,001,0,4.5,,,,,,,,,,,,
Massachusetts,Worcester,Tufts Health Plan,Tufts Health Plan Senior Care Options CW (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$24.40 ,$545.00 ,No,H8330,002,0,4.5,,,,,,,,,,,,
Massachusetts,Worcester,Fallon Health,NaviCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$43.50 ,$545.00 ,No,H8928,001,0,4.0,,,,,,,,,,,,
Massachusetts,Worcester,Longevity Health Plan of Massachusetts,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.50 ,$545.00 ,No,H9940,001,0,Plan too new to be measured,,,,,,,,,,,,
Michigan,Alcona,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Alcona,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Alcona,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Alcona,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Alcona,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Alcona,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Alcona,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Alcona,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Alcona,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Alcona,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Alger,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Alger,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Allegan,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Allegan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Allegan,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Allegan,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Allegan,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Allegan,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Allegan,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Allegan,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Allegan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Allegan,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Allegan,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Allegan,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Allegan,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Allegan,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Allegan,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Allegan,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Alpena,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Alpena,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Alpena,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Alpena,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Alpena,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Alpena,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Alpena,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Alpena,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Alpena,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Antrim,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Antrim,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Antrim,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Antrim,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Antrim,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Antrim,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Antrim,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Antrim,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Antrim,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Antrim,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Arenac,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Arenac,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Arenac,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Arenac,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Arenac,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Arenac,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Arenac,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Arenac,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Arenac,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Arenac,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Arenac,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Arenac,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Arenac,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Arenac,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Arenac,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Arenac,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Baraga,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Baraga,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Barry,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Barry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Barry,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Barry,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Barry,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Barry,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Barry,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Barry,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Barry,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Barry,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Barry,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Barry,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Barry,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Bay,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Bay,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Bay,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Bay,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Bay,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Bay,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Bay,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Bay,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Bay,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Bay,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Bay,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Bay,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Bay,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Bay,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Bay,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Bay,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Benzie,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Benzie,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Benzie,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Benzie,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Benzie,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Benzie,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Benzie,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Benzie,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Benzie,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Benzie,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Berrien,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Berrien,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Berrien,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Berrien,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Berrien,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Berrien,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Berrien,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Berrien,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Branch,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Branch,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Branch,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Branch,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Branch,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Branch,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Branch,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Branch,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Branch,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Branch,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Branch,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Branch,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Branch,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Branch,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Calhoun,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Calhoun,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Calhoun,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Calhoun,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Calhoun,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Calhoun,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Calhoun,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Calhoun,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Calhoun,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Calhoun,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Calhoun,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Calhoun,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Calhoun,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Cass,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Cass,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Cass,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Cass,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Cass,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Cass,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Cass,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Cass,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Cass,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Cass,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Cass,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Charlevoix,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Charlevoix,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Charlevoix,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Charlevoix,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Charlevoix,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Charlevoix,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Charlevoix,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Charlevoix,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Charlevoix,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Charlevoix,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Cheboygan,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Cheboygan,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Cheboygan,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Cheboygan,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Cheboygan,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Cheboygan,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Cheboygan,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Chippewa,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Chippewa,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Clare,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Clare,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Clare,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Clare,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Clare,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Clare,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Clare,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Clare,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Clare,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Clare,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Clinton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Clinton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Clinton,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Clinton,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Clinton,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Clinton,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Clinton,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Crawford,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Crawford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Crawford,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Crawford,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Crawford,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Crawford,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Crawford,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Crawford,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Crawford,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Crawford,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Crawford,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Crawford,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Crawford,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Delta,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Delta,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Dickinson,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Dickinson,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Dickinson,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Dickinson,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Dickinson,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Eaton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Eaton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Eaton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Eaton,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Eaton,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Eaton,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Eaton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Eaton,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Eaton,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Emmet,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Emmet,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Emmet,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Emmet,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Emmet,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Emmet,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Emmet,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Emmet,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Emmet,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Emmet,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Genesee,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Genesee,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Genesee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Genesee,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Genesee,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Genesee,HAP Senior Plus,HAP Medicare Complete Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2354,025,0,4.5,,,,,,,,,,,,
Michigan,Genesee,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Genesee,Zing Health,Zing Select Diabetes & Heart MI (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,012,0,3.0,,,,,,,,,,,,*
Michigan,Genesee,Zing Health,Zing Dual Complete Select MI (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H4624,019,0,3.0,,,,,,,,,,,,
Michigan,Genesee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Genesee,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Genesee,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Genesee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Genesee,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Genesee,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Genesee,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Genesee,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Genesee,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Genesee,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Genesee,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Genesee,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Genesee,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Genesee,CCA Health Michigan,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H9861,003,0,Not enough data available,,,,,,,,,,,,
Michigan,Gladwin,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Gladwin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Gladwin,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Gladwin,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Gladwin,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Gladwin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Gladwin,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Gladwin,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Gladwin,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Gladwin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Gladwin,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Gladwin,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Gladwin,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Gladwin,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Gogebic,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Gogebic,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Gogebic,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Gogebic,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Gogebic,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Grand Traverse,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Grand Traverse,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Grand Traverse,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Grand Traverse,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Grand Traverse,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Grand Traverse,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Grand Traverse,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Grand Traverse,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Grand Traverse,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Grand Traverse,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Gratiot,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Gratiot,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Gratiot,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Gratiot,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Gratiot,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Gratiot,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Gratiot,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Gratiot,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Gratiot,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Gratiot,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Gratiot,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Gratiot,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Gratiot,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Gratiot,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Hillsdale,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Hillsdale,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Hillsdale,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Hillsdale,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Hillsdale,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Hillsdale,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Hillsdale,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Hillsdale,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Hillsdale,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Hillsdale,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Hillsdale,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Hillsdale,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Hillsdale,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Hillsdale,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Houghton,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Houghton,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Huron,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Huron,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Huron,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Huron,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Huron,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Huron,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Huron,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Huron,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Huron,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Huron,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Huron,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Huron,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Huron,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Huron,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Ingham,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Ingham,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Ingham,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Ingham,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Ingham,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Ingham,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Ingham,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Ingham,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Ingham,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Ingham,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Ionia,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Ionia,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Ionia,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Ionia,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Ionia,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Iosco,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Iosco,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Iosco,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Iosco,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Iosco,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Iosco,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Iosco,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Iosco,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Iosco,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Iosco,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Iosco,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Iosco,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Iosco,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Iosco,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Iron,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Iron,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Iron,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Iron,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Iron,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Isabella,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Isabella,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Isabella,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Isabella,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Isabella,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Isabella,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Isabella,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Jackson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Jackson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Jackson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Jackson,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Jackson,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Jackson,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Jackson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Jackson,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Jackson,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Jackson,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Jackson,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Jackson,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Jackson,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Jackson,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Kalamazoo,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Kalamazoo,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Kalamazoo,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Kalamazoo,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Kalamazoo,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Kalamazoo,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Kalamazoo,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Kalamazoo,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Kalamazoo,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Kalamazoo,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Kalamazoo,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Kalamazoo,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Kalamazoo,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Kalamazoo,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Kalamazoo,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Kalamazoo,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Kalamazoo,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Kalkaska,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Kalkaska,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Kalkaska,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Kalkaska,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Kalkaska,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Kalkaska,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Kalkaska,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Kalkaska,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Kalkaska,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Kalkaska,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Kalkaska,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Kalkaska,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Kalkaska,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Kent,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Kent,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Kent,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Kent,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Kent,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Kent,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Kent,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Kent,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Kent,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Kent,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Kent,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Kent,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Kent,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Kent,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Kent,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Kent,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Keweenaw,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Keweenaw,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Lake,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Lake,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Lake,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Lake,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Lake,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Lake,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Lake,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Lake,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Lake,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Lake,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Lake,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Lake,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Lake,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Lapeer,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Lapeer,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Lapeer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Lapeer,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Lapeer,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Lapeer,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Lapeer,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Lapeer,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Lapeer,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Lapeer,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Lapeer,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Lapeer,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Lapeer,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Lapeer,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Lapeer,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Lapeer,CCA Health Michigan,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H9861,003,0,Not enough data available,,,,,,,,,,,,
Michigan,Leelanau,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Leelanau,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Leelanau,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Leelanau,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Leelanau,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Leelanau,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Leelanau,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Leelanau,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Leelanau,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Leelanau,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Lenawee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Lenawee,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Lenawee,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Lenawee,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Lenawee,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Lenawee,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Livingston,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Livingston,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Livingston,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Livingston,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Livingston,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Livingston,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Livingston,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Livingston,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Livingston,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Livingston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Livingston,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Livingston,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Livingston,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Livingston,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Livingston,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Livingston,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Livingston,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Livingston,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Livingston,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Luce,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Luce,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Mackinac,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Mackinac,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Macomb,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Macomb,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Macomb,HAP Senior Plus,HAP Medicare Complete Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2354,025,0,4.5,,,,,,,,,,,,
Michigan,Macomb,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Macomb,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Macomb,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Macomb,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Macomb,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Macomb,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Macomb,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Macomb,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Macomb,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Macomb,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Macomb,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Macomb,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Macomb,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Macomb,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Macomb,CCA Health Michigan,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H9861,003,0,Not enough data available,,,,,,,,,,,,
Michigan,Manistee,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Manistee,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Manistee,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Manistee,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Manistee,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Manistee,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Manistee,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Manistee,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Manistee,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Manistee,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Marquette,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Marquette,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Mason,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Mason,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Mason,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Mason,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Mason,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Mason,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Mason,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Mason,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Mason,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Mecosta,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Mecosta,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Mecosta,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Mecosta,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Mecosta,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Mecosta,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Mecosta,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Mecosta,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Mecosta,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Mecosta,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Mecosta,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Mecosta,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Mecosta,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Menominee,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Menominee,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Midland,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Midland,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Midland,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Midland,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Midland,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Midland,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Midland,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Midland,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Midland,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Midland,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Midland,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Missaukee,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Missaukee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Missaukee,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Missaukee,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Missaukee,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Missaukee,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Missaukee,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Missaukee,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Missaukee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Missaukee,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Missaukee,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Missaukee,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Missaukee,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Monroe,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Monroe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Monroe,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Monroe,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Monroe,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Monroe,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Monroe,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Monroe,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Monroe,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Monroe,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Monroe,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Monroe,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Monroe,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Monroe,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Monroe,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Monroe,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Montcalm,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Montcalm,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Montcalm,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Montcalm,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Montcalm,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Montcalm,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Montcalm,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Montcalm,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Montcalm,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Montcalm,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Montcalm,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Montcalm,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Montcalm,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Montmorency,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Montmorency,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Montmorency,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Montmorency,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Montmorency,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Montmorency,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Montmorency,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Montmorency,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Montmorency,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Montmorency,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Muskegon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Muskegon,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Muskegon,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Muskegon,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Muskegon,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Muskegon,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Muskegon,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Muskegon,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Muskegon,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Muskegon,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Muskegon,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Muskegon,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Newaygo,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Newaygo,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Newaygo,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Newaygo,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Newaygo,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Newaygo,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Newaygo,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Newaygo,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Newaygo,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Newaygo,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Newaygo,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Newaygo,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Newaygo,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Newaygo,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Newaygo,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Newaygo,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Newaygo,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Oakland,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Oakland,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Oakland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Oakland,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Oakland,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Oakland,HAP Senior Plus,HAP Medicare Complete Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2354,025,0,4.5,,,,,,,,,,,,
Michigan,Oakland,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Oakland,Zing Health,Zing Select Diabetes & Heart MI (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,012,0,3.0,,,,,,,,,,,,*
Michigan,Oakland,Zing Health,Zing Dual Complete Select MI (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H4624,019,0,3.0,,,,,,,,,,,,
Michigan,Oakland,Zing Health,Zing ESRD Select MI (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,023,0,3.0,,,,,*,,,,,,,
Michigan,Oakland,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Oakland,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Oakland,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Oakland,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Oakland,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Michigan,Oakland,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Michigan,Oakland,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Oakland,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Oakland,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Oakland,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Oakland,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Oakland,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Oakland,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Oakland,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Oakland,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Oakland,CCA Health Michigan,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H9861,003,0,Not enough data available,,,,,,,,,,,,
Michigan,Oceana,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Oceana,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Oceana,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Oceana,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Oceana,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Oceana,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Oceana,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Oceana,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Oceana,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Oceana,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Oceana,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Oceana,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Ogemaw,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Ogemaw,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Ogemaw,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Ogemaw,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Ogemaw,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Ogemaw,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Ogemaw,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Ogemaw,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Ogemaw,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Ogemaw,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Ogemaw,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Ogemaw,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Ogemaw,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Ontonagon,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Ontonagon,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Ontonagon,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Ontonagon,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Ontonagon,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Osceola,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Osceola,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Osceola,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Osceola,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Osceola,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Osceola,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Osceola,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Osceola,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Osceola,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Osceola,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Osceola,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Osceola,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Osceola,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Oscoda,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Oscoda,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Oscoda,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Oscoda,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Oscoda,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Oscoda,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Oscoda,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Oscoda,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Oscoda,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Oscoda,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Oscoda,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Oscoda,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Oscoda,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Otsego,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Otsego,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Otsego,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Otsego,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Otsego,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Otsego,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Otsego,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Otsego,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Otsego,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Otsego,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Otsego,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Otsego,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Otsego,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Ottawa,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Ottawa,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Ottawa,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Ottawa,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Ottawa,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Ottawa,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Ottawa,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Ottawa,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Ottawa,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Ottawa,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Ottawa,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Ottawa,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Ottawa,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Ottawa,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Ottawa,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Ottawa,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Presque Isle,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Presque Isle,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Presque Isle,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Presque Isle,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Presque Isle,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Presque Isle,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Presque Isle,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Roscommon,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Roscommon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Roscommon,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Roscommon,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Roscommon,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Roscommon,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Roscommon,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Roscommon,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Roscommon,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Roscommon,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Roscommon,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Roscommon,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Saginaw,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Saginaw,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Saginaw,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Saginaw,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Saginaw,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Saginaw,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Saginaw,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Saginaw,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Saginaw,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Saginaw,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Saginaw,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Saginaw,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Saginaw,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Saginaw,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Saginaw,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Saginaw,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Sanilac,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Sanilac,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Sanilac,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Sanilac,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Sanilac,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Sanilac,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Sanilac,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Sanilac,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Sanilac,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Sanilac,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Sanilac,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Sanilac,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Sanilac,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Schoolcraft,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Schoolcraft,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Shiawassee,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Shiawassee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Shiawassee,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Shiawassee,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Shiawassee,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Shiawassee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Shiawassee,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Shiawassee,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Shiawassee,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Shiawassee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Shiawassee,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Shiawassee,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Shiawassee,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Shiawassee,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,St. Clair,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,St. Clair,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,St. Clair,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,St. Clair,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,St. Clair,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,St. Clair,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,St. Clair,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,St. Clair,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,St. Clair,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,St. Clair,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,St. Clair,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,St. Clair,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,St. Clair,CCA Health Michigan,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H9861,003,0,Not enough data available,,,,,,,,,,,,
Michigan,St. Joseph,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,St. Joseph,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,St. Joseph,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,St. Joseph,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,St. Joseph,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,St. Joseph,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,St. Joseph,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,St. Joseph,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,St. Joseph,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,St. Joseph,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,St. Joseph,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Tuscola,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Tuscola,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Tuscola,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Tuscola,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Tuscola,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Tuscola,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Tuscola,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Tuscola,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Tuscola,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Tuscola,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Tuscola,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Tuscola,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Tuscola,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Tuscola,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Tuscola,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Van Buren,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Van Buren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Van Buren,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Van Buren,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Van Buren,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Van Buren,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Van Buren,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Van Buren,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Van Buren,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Van Buren,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Van Buren,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Washtenaw,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Washtenaw,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Washtenaw,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Washtenaw,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Washtenaw,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Washtenaw,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Washtenaw,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Washtenaw,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Washtenaw,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Washtenaw,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Washtenaw,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Washtenaw,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Washtenaw,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Washtenaw,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Washtenaw,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Washtenaw,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Washtenaw,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Washtenaw,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Wayne,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Wayne,Wellcare by Allwell,Wellcare Complete Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H0482,005,0,3.0,,,,,,,,,,,,
Michigan,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Wayne,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Wayne,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Wayne,HAP Senior Plus,HAP Medicare Complete Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2354,025,0,4.5,,,,,,,,,,,,
Michigan,Wayne,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Wayne,Zing Health,Zing Select Diabetes & Heart MI (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,012,0,3.0,,,,,,,,,,,,*
Michigan,Wayne,Zing Health,Zing Dual Complete Select MI (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H4624,019,0,3.0,,,,,,,,,,,,
Michigan,Wayne,Zing Health,Zing ESRD Select MI (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4624,023,0,3.0,,,,,*,,,,,,,
Michigan,Wayne,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,Yes,H5216,375,0,4.5,,,,,,,,,,,,*
Michigan,Wayne,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Wayne,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Wayne,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Wayne,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Wayne,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Wayne,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Wayne,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,001,0,Not enough data available,,,,,,,,,,,,
Michigan,Wayne,Align Senior Care,Memory Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H6832,002,0,Not enough data available,,,*,,,,,,,,,
Michigan,Wayne,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$35.90 ,$545.00 ,No,H6832,003,0,Not enough data available,,,,,*,,,,,,,
Michigan,Wayne,Zing Health,Zing Dual Complete Open Choice MI (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H6876,002,0,Plan too new to be measured,,,,,,,,,,,,
Michigan,Wayne,Zing Health,Zing Open Choice Diabetes & Heart MI (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6876,003,0,Plan too new to be measured,,,,,,,,,,,,*
Michigan,Wayne,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Michigan,Wayne,Priority Health Medicare,PriorityMedicare D-SNP Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,002,0,4.5,,,,,,,,,,,,
Michigan,Wayne,Humana,Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H8908,005,0,3.5,,,,,,,,,,,,
Michigan,Wayne,CCA Health Michigan,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$35.90 ,$545.00 ,No,H9861,003,0,Not enough data available,,,,,,,,,,,,
Michigan,Wexford,UnitedHealthcare,UHC Dual Complete MI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H0271,028,0,4.0,,,,,,,,,,,,
Michigan,Wexford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.20 ,$545.00 ,No,H2117,002,0,2.5,,,,,,,,,,,,
Michigan,Wexford,UnitedHealthcare,UHC Dual Complete MI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,001,0,4.0,,,,,,,,,,,,
Michigan,Wexford,UnitedHealthcare,UHC Dual Complete MI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H2247,003,0,4.0,,,,,,,,,,,,
Michigan,Wexford,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.70 ,$545.00 ,No,H3192,007,0,3.5,,,,,,,,,,,,
Michigan,Wexford,Humana,HumanaChoice SNP-DE H5216-385 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,385,0,4.5,,,,,,,,,,,,
Michigan,Wexford,Humana,HumanaChoice SNP-DE H5216-388 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H5216,388,0,4.5,,,,,,,,,,,,
Michigan,Wexford,Wellcare,Wellcare Dual Access (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.10 ,$545.00 ,No,H5475,001,0,3.0,,,,,,,,,,,,
Michigan,Wexford,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H5475,039,0,3.0,,,,,,,,,,,,
Michigan,Wexford,Molina Healthcare of Michigan,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H5926,001,0,2.5,,,,,,,,,,,,
Michigan,Wexford,Molina Healthcare of Michigan,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.00 ,$545.00 ,No,H5926,005,0,2.5,,,,,,,,,,,,
Michigan,Wexford,McLaren Medicare,McLaren Medicare Inspire Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H6322,004,0,Not enough data available,,,,,,,,,,,,
Michigan,Wexford,Priority Health Medicare,PriorityMedicare D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.90 ,$545.00 ,No,H8379,001,0,4.5,,,,,,,,,,,,
Minnesota,Aitkin,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Aitkin,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Aitkin,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Aitkin,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Aitkin,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Anoka,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,Anoka,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,Anoka,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Anoka,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Anoka,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Anoka,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Anoka,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Anoka,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Anoka,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Anoka,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Becker,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Becker,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Becker,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Becker,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Becker,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Beltrami,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Beltrami,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Beltrami,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Benton,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Benton,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Benton,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Benton,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Benton,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Benton,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Benton,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Big Stone,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Big Stone,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Big Stone,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Blue Earth,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Blue Earth,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Blue Earth,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Blue Earth,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Blue Earth,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Blue Earth,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Brown,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Brown,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Brown,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Carlton,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Carlton,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Carlton,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Carlton,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Carlton,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Carver,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,Carver,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,Carver,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Carver,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Carver,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Carver,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Carver,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Carver,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Carver,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Carver,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Cass,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Cass,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Cass,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Cass,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Chippewa,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Chippewa,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Chippewa,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Chippewa,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Chippewa,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Chisago,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Chisago,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Chisago,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Chisago,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Chisago,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Chisago,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Chisago,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Chisago,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Clay,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Clay,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Clay,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Clay,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Clearwater,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Clearwater,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Clearwater,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Cook,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Cook,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Cook,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Cook,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Cottonwood,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Cottonwood,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Cottonwood,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Cottonwood,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Cottonwood,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Crow Wing,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Crow Wing,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Crow Wing,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Crow Wing,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Crow Wing,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Dakota,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,Dakota,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,Dakota,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Dakota,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Dakota,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Dakota,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Dakota,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Dakota,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Dakota,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Dakota,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Dodge,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Dodge,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Dodge,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Dodge,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Douglas,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Douglas,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Douglas,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Douglas,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Douglas,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Faribault,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Faribault,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Faribault,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Faribault,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Fillmore,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Fillmore,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Fillmore,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Fillmore,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Fillmore,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Freeborn,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Freeborn,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Freeborn,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Freeborn,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Freeborn,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Freeborn,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Goodhue,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Goodhue,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Goodhue,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Grant,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Grant,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Grant,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Hennepin,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,Hennepin,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,Hennepin,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Hennepin,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Hennepin,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Hennepin,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Hennepin,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Hennepin,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Hennepin,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Hennepin,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Houston,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Houston,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Houston,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Houston,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Hubbard,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Hubbard,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Hubbard,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Hubbard,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Hubbard,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Isanti,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Isanti,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Isanti,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Isanti,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Isanti,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Isanti,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Isanti,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Itasca,Itasca Medical Care/IMCare Classic,IMCare Classic (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.60 ,$545.00 ,No,H2417,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Itasca,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Itasca,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Jackson,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Jackson,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Jackson,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Jackson,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Jackson,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Kanabec,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Kanabec,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Kanabec,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Kanabec,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Kanabec,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Kandiyohi,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Kandiyohi,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Kandiyohi,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Kandiyohi,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Kandiyohi,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Kandiyohi,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Kittson,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Kittson,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Kittson,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Kittson,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Kittson,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Koochiching,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Koochiching,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Koochiching,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Koochiching,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Koochiching,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Lac qui Parle,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Lac qui Parle,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Lac qui Parle,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Lac qui Parle,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Lac qui Parle,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Lac qui Parle,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Lake,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Lake,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Lake,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Lake,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Lake,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Lake of the Woods,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Lake of the Woods,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Lake of the Woods,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Lake of the Woods,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Le Sueur,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Le Sueur,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Le Sueur,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Le Sueur,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Le Sueur,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Lincoln,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Lincoln,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Lincoln,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Lincoln,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Lincoln,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Lyon,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Lyon,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Lyon,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Lyon,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Lyon,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Mahnomen,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Mahnomen,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Mahnomen,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Mahnomen,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Mahnomen,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Marshall,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Marshall,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Marshall,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Marshall,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Martin,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Martin,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Martin,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,McLeod,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,McLeod,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,McLeod,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Meeker,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Meeker,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Meeker,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Mille Lacs,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Mille Lacs,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Mille Lacs,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Mille Lacs,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Mille Lacs,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Mille Lacs,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Mille Lacs,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Morrison,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Morrison,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Morrison,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Morrison,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Morrison,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Morrison,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Morrison,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Mower,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Mower,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Mower,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Mower,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Murray,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Murray,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Murray,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Murray,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Nicollet,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Nicollet,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Nicollet,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Nicollet,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Nicollet,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Nobles,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Nobles,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Nobles,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Nobles,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Nobles,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Norman,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Norman,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Norman,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Norman,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Norman,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Olmsted,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Olmsted,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Olmsted,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Olmsted,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Olmsted,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Otter Tail,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Otter Tail,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Otter Tail,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Otter Tail,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Otter Tail,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Otter Tail,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Pennington,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Pennington,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Pennington,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Pennington,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Pine,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Pine,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Pine,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Pine,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Pipestone,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Pipestone,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Pipestone,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Polk,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Polk,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Polk,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Polk,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Pope,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Pope,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Pope,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Pope,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Pope,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Ramsey,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,Ramsey,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,Ramsey,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Ramsey,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Ramsey,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Ramsey,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Ramsey,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Ramsey,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Ramsey,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Ramsey,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Red Lake,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Red Lake,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Red Lake,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Red Lake,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Red Lake,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Redwood,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Redwood,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Redwood,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Redwood,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Redwood,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Renville,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Renville,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Renville,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Rice,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Rice,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Rice,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Rice,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Rice,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Rice,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Rice,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Rock,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Rock,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Rock,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Rock,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Roseau,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Roseau,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Roseau,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Roseau,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Scott,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,Scott,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,Scott,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Scott,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Scott,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Scott,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Scott,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Scott,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Scott,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Scott,UnitedHealthcare,UHC Dual Complete MN-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$35.60 ,$545.00 ,No,H7778,001,0,Plan too new to be measured,,,,,,,,,,,,
Minnesota,Scott,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Sherburne,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Sherburne,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Sherburne,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Sherburne,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Sherburne,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Sherburne,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Sherburne,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Sherburne,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Sibley,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Sibley,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Sibley,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,St. Louis,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,St. Louis,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,St. Louis,UnitedHealthcare,UHC Dual Complete MN-Y002 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.60 ,$545.00 ,No,H0845,001,0,Plan too new to be measured,,,,,,,,,,,,
Minnesota,St. Louis,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,St. Louis,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,St. Louis,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,St. Louis,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,St. Louis,UnitedHealthcare,UHC Dual Complete MN-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$35.60 ,$545.00 ,No,H7778,001,0,Plan too new to be measured,,,,,,,,,,,,
Minnesota,St. Louis,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Stearns,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Stearns,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Stearns,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Stearns,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Stearns,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Stearns,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Stearns,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Steele,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Steele,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Steele,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Stevens,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Stevens,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Stevens,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Swift,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Swift,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Swift,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Swift,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Swift,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Todd,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Todd,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Todd,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Todd,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Todd,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Traverse,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Traverse,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Traverse,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Wabasha,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Wabasha,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Wabasha,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Wabasha,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Wadena,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Wadena,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Wadena,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Wadena,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Wadena,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Waseca,South Country Health Alliance,SeniorCare Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$32.00 ,$545.00 ,No,H2419,001,0,4.5,,,,,,,,,,,,
Minnesota,Waseca,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Waseca,South Country Health Alliance,AbilityCare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5703,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Washington,UnitedHealthcare,UHC Nursing Home Plan MN-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H0710,041,0,5.0,,,,,,,,,,,,
Minnesota,Washington,UnitedHealthcare,UHC Care Advantage MN-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$42.20 ,$0.00 ,No,H0710,047,0,5.0,,,,,,,,,,,,
Minnesota,Washington,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Washington,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Washington,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Washington,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Washington,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Washington,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Washington,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Washington,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Watonwan,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Watonwan,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Watonwan,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Watonwan,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Wilkin,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Wilkin,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Wilkin,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Wilkin,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Winona,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Winona,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Winona,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Winona,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Wright,HealthPartners,HealthPartners Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$40.30 ,$545.00 ,No,H2422,002,0,3.5,,,,,,,,,,,,
Minnesota,Wright,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Wright,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Wright,Medica,Medica DUAL Solution (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H2458,002,0,3.5,,,,,,,,,,,,
Minnesota,Wright,UCare,UCare Advocate Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$125.00 ,No,H2459,031,0,4.5,,,,,,,,,,,,
Minnesota,Wright,UCare,UCare Advocate Plus (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$29.00 ,$0.00 ,No,H2459,032,0,4.5,,,,,,,,,,,,
Minnesota,Wright,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Minnesota,Wright,Medica,Medica AccessAbility Solution Enhanced (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H9952,001,0,3.5,,,,,,,,,,,,
Minnesota,Yellow Medicine,PrimeWest Health,PrimeWest Senior Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2416,001,0,4.5,,,,,,,,,,,,
Minnesota,Yellow Medicine,Blue Plus,SecureBlue (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.50 ,$545.00 ,No,H2425,001,0,4.5,,,,,,,,,,,,
Minnesota,Yellow Medicine,UCare's MSHO,UCare's Minnesota Senior Health Options (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$35.00 ,$545.00 ,No,H2456,002,0,4.0,,,,,,,,,,,,
Minnesota,Yellow Medicine,PrimeWest Health,Prime Health Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.10 ,$545.00 ,No,H2926,001,0,Not enough data available,,,,,,,,,,,,
Minnesota,Yellow Medicine,UCare,UCare Connect + Medicare (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$42.20 ,$545.00 ,No,H5937,001,0,3.5,,,,,,,,,,,,
Mississippi,Adams,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Adams,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Adams,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Adams,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Adams,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Adams,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Adams,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Adams,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Alcorn,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Alcorn,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Alcorn,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Alcorn,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Alcorn,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Alcorn,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Alcorn,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Alcorn,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Alcorn,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Alcorn,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Alcorn,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Amite,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Amite,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Amite,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Amite,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Amite,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Amite,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Amite,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Amite,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Amite,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Amite,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Amite,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Amite,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Amite,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Attala,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Attala,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Attala,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Attala,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Attala,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Attala,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Attala,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Attala,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Attala,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Attala,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Attala,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Attala,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Attala,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Attala,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Attala,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Attala,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Attala,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Benton,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Benton,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Benton,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Benton,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Benton,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Benton,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Benton,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Benton,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Benton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Benton,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Benton,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Benton,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Benton,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Bolivar,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Bolivar,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Bolivar,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Bolivar,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Bolivar,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Bolivar,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Bolivar,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Bolivar,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Bolivar,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Bolivar,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Bolivar,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Bolivar,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Bolivar,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Bolivar,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Bolivar,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Bolivar,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Bolivar,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Calhoun,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Calhoun,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Calhoun,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Calhoun,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Calhoun,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Calhoun,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Calhoun,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Calhoun,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Calhoun,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Calhoun,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Calhoun,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Calhoun,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Calhoun,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Calhoun,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Calhoun,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Carroll,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Carroll,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Carroll,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Carroll,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Carroll,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Carroll,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Carroll,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Carroll,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Carroll,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Carroll,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Carroll,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Carroll,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Carroll,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Carroll,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Carroll,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Carroll,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Carroll,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Chickasaw,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Chickasaw,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Chickasaw,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Chickasaw,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Chickasaw,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Chickasaw,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Chickasaw,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Chickasaw,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Chickasaw,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Chickasaw,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Chickasaw,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Chickasaw,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Chickasaw,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Choctaw,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Choctaw,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Choctaw,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Choctaw,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Choctaw,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Choctaw,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Choctaw,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Choctaw,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Choctaw,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Choctaw,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Choctaw,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Choctaw,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Claiborne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Claiborne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Claiborne,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Claiborne,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Claiborne,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Claiborne,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Claiborne,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Claiborne,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Claiborne,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Claiborne,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Claiborne,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Claiborne,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Claiborne,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Claiborne,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Claiborne,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Claiborne,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Clarke,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Clarke,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Clarke,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Clarke,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Clarke,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Clarke,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Clarke,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Clarke,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Clarke,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Clarke,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Clarke,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Clarke,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Clarke,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Clarke,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Clarke,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Clay,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Clay,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Clay,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Clay,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Clay,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Clay,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Clay,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Clay,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Clay,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Clay,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Coahoma,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Coahoma,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Coahoma,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Coahoma,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Coahoma,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Coahoma,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Coahoma,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Coahoma,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Coahoma,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Coahoma,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Coahoma,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Coahoma,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Coahoma,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Coahoma,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Coahoma,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Copiah,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Copiah,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Copiah,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Copiah,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Copiah,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Copiah,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Copiah,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Copiah,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Copiah,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Copiah,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Copiah,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Copiah,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Copiah,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Copiah,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Copiah,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Copiah,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Copiah,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Covington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Covington,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Covington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Covington,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Covington,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Covington,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Covington,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Covington,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Covington,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Covington,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Covington,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Covington,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Covington,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Covington,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Covington,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Covington,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Covington,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,DeSoto,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,DeSoto,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,DeSoto,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,DeSoto,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,DeSoto,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,DeSoto,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,DeSoto,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,DeSoto,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,DeSoto,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,DeSoto,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,DeSoto,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,DeSoto,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,DeSoto,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,DeSoto,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,DeSoto,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,DeSoto,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,DeSoto,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,DeSoto,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,DeSoto,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Forrest,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Forrest,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Forrest,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Forrest,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Forrest,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Forrest,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,Forrest,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Forrest,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Forrest,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Forrest,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Forrest,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Forrest,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Forrest,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Forrest,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Forrest,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Forrest,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Forrest,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Forrest,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Franklin,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Franklin,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Franklin,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Franklin,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Franklin,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Franklin,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Franklin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Franklin,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Franklin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Franklin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Franklin,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Franklin,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,George,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,George,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,George,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,George,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,George,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,George,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,George,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,George,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,George,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,George,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,George,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,George,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,George,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,George,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,George,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,George,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,George,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,George,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,George,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,George,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,George,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Greene,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Greene,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Greene,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Greene,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Greene,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Greene,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Greene,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Greene,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Greene,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Greene,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Greene,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Greene,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Greene,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Greene,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Greene,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Greene,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Greene,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Greene,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Greene,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Grenada,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Grenada,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Grenada,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Grenada,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Grenada,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Grenada,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Grenada,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Grenada,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Grenada,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Grenada,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Grenada,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Grenada,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Grenada,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Grenada,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Hancock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Hancock,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Hancock,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Hancock,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Hancock,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Hancock,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Hancock,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Hancock,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,015,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H3239,016,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Hancock,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Hancock,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Hancock,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Hancock,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Hancock,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Hancock,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Hancock,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Hancock,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Harrison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Harrison,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Mississippi,Harrison,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Mississippi,Harrison,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Harrison,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Harrison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Harrison,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Harrison,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Harrison,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Harrison,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,015,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H3239,016,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Harrison,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Harrison,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Harrison,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Harrison,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Harrison,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Harrison,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Harrison,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Harrison,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Harrison,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Hinds,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Hinds,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Mississippi,Hinds,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Mississippi,Hinds,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Hinds,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Hinds,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Hinds,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Hinds,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Hinds,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Hinds,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,015,0,4.0,,,,,,,,,,,,
Mississippi,Hinds,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H3239,016,0,4.0,,,,,,,,,,,,
Mississippi,Hinds,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Hinds,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Hinds,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Hinds,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Hinds,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Hinds,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Hinds,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Hinds,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Hinds,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Hinds,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Hinds,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Hinds,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Hinds,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Holmes,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Holmes,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Holmes,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Holmes,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Holmes,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Holmes,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Holmes,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Holmes,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Holmes,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Holmes,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Holmes,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Holmes,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Holmes,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Holmes,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Holmes,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Holmes,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Humphreys,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Humphreys,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Humphreys,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Humphreys,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Humphreys,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Humphreys,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Humphreys,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Humphreys,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Humphreys,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Humphreys,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Humphreys,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Humphreys,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Humphreys,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Humphreys,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Humphreys,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Humphreys,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Issaquena,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Issaquena,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Issaquena,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Issaquena,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Issaquena,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Issaquena,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Issaquena,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Issaquena,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Issaquena,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Issaquena,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Issaquena,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Issaquena,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Issaquena,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Issaquena,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Issaquena,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Issaquena,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Itawamba,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Itawamba,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Itawamba,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Itawamba,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Itawamba,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Itawamba,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Itawamba,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Itawamba,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Itawamba,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Itawamba,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Jackson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Jackson,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Mississippi,Jackson,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Jackson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Jackson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Jackson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Jackson,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Jackson,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jackson,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,Aetna Medicare,Aetna Medicare Dual Signature (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.20 ,$545.00 ,No,H3239,015,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,Aetna Medicare,Aetna Medicare Dual Signature Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H3239,016,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Jackson,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Jackson,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Jackson,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Jackson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Jackson,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Jackson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Jackson,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jackson,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jackson,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Jasper,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Jasper,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Jasper,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Jasper,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Jasper,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Jasper,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jasper,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Jasper,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Jasper,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Jasper,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Jasper,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Jasper,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Jasper,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Jasper,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jasper,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Jefferson,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jefferson,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Jefferson,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Jefferson,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Jefferson,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Jefferson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Jefferson,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jefferson,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Jefferson Davis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Jefferson Davis,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Jefferson Davis,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Jefferson Davis,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Jefferson Davis,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson Davis,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jefferson Davis,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Jefferson Davis,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Jefferson Davis,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Jefferson Davis,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Jefferson Davis,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson Davis,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson Davis,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Jefferson Davis,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Jefferson Davis,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jefferson Davis,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Jones,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Jones,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Jones,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Jones,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Jones,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Jones,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jones,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,Jones,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Jones,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Jones,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Jones,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Jones,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Jones,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Jones,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Jones,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Jones,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Jones,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Jones,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Jones,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Jones,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Jones,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Kemper,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Kemper,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Kemper,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Kemper,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Kemper,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Kemper,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Kemper,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Kemper,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Kemper,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Kemper,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Kemper,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Kemper,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Kemper,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Kemper,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Lafayette,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Lafayette,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Lafayette,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Lafayette,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Lafayette,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lafayette,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Lafayette,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Lafayette,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Lafayette,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Lafayette,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Lafayette,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Lafayette,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Lafayette,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Lafayette,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Lafayette,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Lafayette,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Lamar,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Lamar,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Lamar,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Lamar,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Lamar,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Lamar,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Lamar,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Lamar,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Lamar,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Lamar,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Lamar,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Lamar,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Lauderdale,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Lauderdale,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Mississippi,Lauderdale,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Lauderdale,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Lauderdale,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Lauderdale,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Lauderdale,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lauderdale,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Lauderdale,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Lauderdale,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Lauderdale,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Lauderdale,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Lauderdale,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Lauderdale,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Lawrence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Lawrence,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Lawrence,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Lawrence,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Lawrence,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Lawrence,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lawrence,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Lawrence,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Lawrence,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Lawrence,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Lawrence,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Lawrence,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Lawrence,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Lawrence,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Lawrence,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lawrence,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Leake,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Leake,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Leake,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Leake,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Leake,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Leake,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Leake,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Leake,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Leake,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Leake,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Leake,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Leake,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Leake,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Leake,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Leake,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Lee,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Mississippi,Lee,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Mississippi,Lee,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Lee,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lee,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Lee,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Lee,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Lee,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Lee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Lee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Lee,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Leflore,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Leflore,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Leflore,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Leflore,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Leflore,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Leflore,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Leflore,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Leflore,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Leflore,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Leflore,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Leflore,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Leflore,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Leflore,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Leflore,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Leflore,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Leflore,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Leflore,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Lincoln,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Lincoln,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Lincoln,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Lincoln,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Lincoln,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lincoln,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Lincoln,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Lincoln,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Lincoln,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Lincoln,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Lincoln,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Lincoln,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Lincoln,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Lincoln,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lowndes,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Lowndes,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Lowndes,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Lowndes,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Lowndes,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Lowndes,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Madison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Madison,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Madison,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Madison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Madison,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Madison,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Madison,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Madison,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Madison,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Madison,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Madison,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Madison,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Madison,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Madison,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Madison,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Madison,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Madison,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Madison,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Madison,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Madison,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Marion,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Marion,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Marion,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Marion,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Marion,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Marion,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Marion,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Marion,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Marion,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Marion,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Marion,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Marion,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Marion,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Marion,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Marion,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Marion,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Marion,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Marion,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Marion,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Marion,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Marshall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Marshall,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Marshall,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Marshall,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Marshall,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Marshall,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Marshall,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Marshall,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Marshall,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Marshall,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Marshall,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Marshall,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Marshall,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Marshall,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Marshall,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Marshall,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Marshall,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Marshall,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Marshall,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Monroe,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Mississippi,Monroe,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Monroe,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Monroe,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Monroe,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Monroe,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Monroe,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Monroe,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Monroe,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Monroe,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Monroe,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Monroe,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Monroe,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Monroe,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Monroe,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Montgomery,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Montgomery,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Montgomery,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Montgomery,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Montgomery,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Montgomery,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Montgomery,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Montgomery,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Montgomery,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Montgomery,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Montgomery,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Montgomery,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Montgomery,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Montgomery,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Montgomery,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Montgomery,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Neshoba,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Neshoba,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Neshoba,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Neshoba,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Neshoba,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Neshoba,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Neshoba,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Neshoba,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Neshoba,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Neshoba,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Neshoba,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Neshoba,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Neshoba,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Neshoba,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Newton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Newton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Newton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Newton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Newton,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Newton,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Newton,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Newton,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Newton,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Newton,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Newton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Newton,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Newton,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Newton,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Newton,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Noxubee,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Noxubee,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Noxubee,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Noxubee,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Noxubee,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Noxubee,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Noxubee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Noxubee,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Noxubee,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Noxubee,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Noxubee,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Oktibbeha,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Oktibbeha,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Oktibbeha,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Oktibbeha,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Oktibbeha,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Oktibbeha,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Oktibbeha,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Oktibbeha,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Panola,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Panola,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Panola,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Panola,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Panola,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Panola,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Panola,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Panola,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Panola,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Panola,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Panola,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Panola,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Panola,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Panola,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Panola,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Panola,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Panola,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Panola,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Panola,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Pearl River,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Pearl River,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Pearl River,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Pearl River,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,Pearl River,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Pearl River,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Pearl River,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Pearl River,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Pearl River,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Pearl River,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Pearl River,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Pearl River,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Pearl River,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Pearl River,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Pearl River,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Pearl River,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Pearl River,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Pearl River,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Perry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Perry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Perry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Perry,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Perry,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Perry,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Perry,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Perry,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Perry,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Perry,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Perry,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Perry,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Perry,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Perry,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Perry,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Perry,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Perry,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Perry,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Perry,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Pike,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Pike,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Pike,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Pike,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Pike,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Pike,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Pike,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Pike,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Pike,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Pike,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Pike,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Pike,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Pike,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Pike,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Pike,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Pike,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Pike,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Pontotoc,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Pontotoc,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Pontotoc,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Pontotoc,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Pontotoc,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Pontotoc,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Pontotoc,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Pontotoc,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Pontotoc,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Prentiss,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Prentiss,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Prentiss,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Prentiss,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Prentiss,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Prentiss,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Prentiss,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Prentiss,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Prentiss,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Prentiss,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Prentiss,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Prentiss,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Prentiss,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Prentiss,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Quitman,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Quitman,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Quitman,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Quitman,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Quitman,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Quitman,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Quitman,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Quitman,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Quitman,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Quitman,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Quitman,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Quitman,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Quitman,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Quitman,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Quitman,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Quitman,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Rankin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Rankin,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Mississippi,Rankin,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Mississippi,Rankin,Humana,Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H1036,222,0,5.0,,,,,,,,,,,,
Mississippi,Rankin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Rankin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Rankin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Rankin,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Rankin,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Rankin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Rankin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Rankin,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Rankin,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Rankin,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Rankin,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Rankin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Rankin,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Rankin,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Rankin,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Rankin,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Rankin,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Rankin,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Scott,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Scott,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Scott,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Scott,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Scott,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Scott,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Scott,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Scott,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Scott,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Scott,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Scott,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Scott,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Scott,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Scott,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Scott,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Sharkey,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Sharkey,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Sharkey,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Sharkey,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Sharkey,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Sharkey,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Sharkey,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Sharkey,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Sharkey,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Sharkey,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Sharkey,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Sharkey,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Sharkey,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Sharkey,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Sharkey,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Sharkey,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Simpson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Simpson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Simpson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Simpson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Simpson,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Simpson,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Simpson,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Simpson,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Simpson,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Simpson,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Simpson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Simpson,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Simpson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Simpson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Simpson,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Simpson,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Simpson,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Smith,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Smith,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Smith,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Smith,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Smith,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Smith,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Smith,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Smith,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Smith,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Smith,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Smith,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Smith,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Smith,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Smith,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Smith,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Stone,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Stone,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Stone,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Stone,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Stone,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Stone,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Stone,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,008,0,4.0,,,,,,,,,,,,
Mississippi,Stone,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Stone,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Stone,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Stone,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Stone,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Stone,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Stone,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Stone,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Stone,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Stone,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Stone,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Stone,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Stone,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Stone,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Sunflower,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Sunflower,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Sunflower,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Sunflower,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Sunflower,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Sunflower,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Sunflower,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Sunflower,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Sunflower,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Sunflower,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Sunflower,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Sunflower,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Sunflower,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Sunflower,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Sunflower,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Sunflower,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Tallahatchie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Tallahatchie,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Tallahatchie,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Tallahatchie,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Tallahatchie,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Tallahatchie,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tallahatchie,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Tallahatchie,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Tallahatchie,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Tallahatchie,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Tallahatchie,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Tallahatchie,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Tallahatchie,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Tallahatchie,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Tallahatchie,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tallahatchie,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Tate,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Tate,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Tate,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Tate,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Tate,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Tate,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tate,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Tate,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Tate,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Tate,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Tate,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Tate,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Tate,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Tate,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Tate,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Tate,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Tate,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Tate,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Tippah,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Tippah,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tippah,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Tippah,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Tippah,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Tippah,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Tippah,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Tippah,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Tippah,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Tippah,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Tippah,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Tippah,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Tippah,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Tishomingo,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Tishomingo,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tishomingo,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Tishomingo,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Tishomingo,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Tishomingo,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Tishomingo,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Tishomingo,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Tishomingo,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Tishomingo,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Tishomingo,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Tishomingo,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Tishomingo,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tishomingo,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Tunica,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Tunica,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Tunica,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Tunica,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Tunica,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Tunica,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tunica,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Tunica,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Tunica,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Tunica,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Tunica,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Tunica,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Tunica,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Tunica,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Tunica,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Tunica,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Tunica,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Tunica,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Tunica,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Union,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Union,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Union,Aetna Medicare,Aetna Medicare Dual Preferred (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.20 ,$545.00 ,No,H3239,005,0,4.0,,,,,,,,,,,,
Mississippi,Union,Aetna Medicare,Aetna Medicare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3239,012,0,4.0,,,,,,,,,,,,
Mississippi,Union,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Union,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Union,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Union,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Union,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Union,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Union,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Union,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Union,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Walthall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Walthall,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Walthall,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Walthall,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Walthall,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Walthall,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Walthall,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Walthall,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Walthall,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Walthall,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Walthall,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Walthall,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Walthall,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Walthall,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Walthall,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Walthall,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Walthall,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Walthall,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Warren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Warren,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Warren,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Warren,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Warren,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Warren,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Warren,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Warren,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Warren,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Warren,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Warren,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Warren,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Warren,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Warren,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Warren,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Warren,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Warren,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Washington,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Washington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Washington,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Washington,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Washington,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Washington,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Washington,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Washington,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Washington,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Washington,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Washington,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Washington,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Washington,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Washington,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Washington,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Wayne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Wayne,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Wayne,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Wayne,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Wayne,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Wayne,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.50 ,$545.00 ,No,H4407,004,0,4.0,,,,,,,,,,,,
Mississippi,Wayne,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.00 ,$545.00 ,No,H4407,029,0,4.0,,,,,,,,,,,,
Mississippi,Wayne,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Wayne,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Wayne,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Wayne,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Wayne,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Wayne,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Wayne,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Wayne,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Wayne,Humana,Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H6622,048,0,4.0,,,,,,,,,,,,
Mississippi,Wayne,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Wayne,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Wayne,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Webster,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Webster,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Webster,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Webster,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Webster,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Webster,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Webster,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Webster,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Webster,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Webster,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Webster,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Webster,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Wilkinson,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Wilkinson,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Wilkinson,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Wilkinson,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Wilkinson,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Wilkinson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Wilkinson,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Wilkinson,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Wilkinson,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Wilkinson,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Winston,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Winston,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Winston,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Winston,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Winston,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Winston,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Winston,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Winston,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Winston,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Winston,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Winston,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Yalobusha,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Yalobusha,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Yalobusha,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Yalobusha,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Yalobusha,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Yalobusha,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Yalobusha,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Yalobusha,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Yalobusha,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Yalobusha,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Yalobusha,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Yalobusha,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Yalobusha,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Yalobusha,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Yalobusha,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Yalobusha,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Mississippi,Yazoo,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.70 ,$545.00 ,No,H0074,004,0,2.5,,,,,,,,,,,,
Mississippi,Yazoo,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.40 ,$545.00 ,No,H1416,034,0,3.0,,,,,,,,,,,,
Mississippi,Yazoo,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.30 ,$545.00 ,No,H1416,044,0,3.0,,,,,,,,,,,,
Mississippi,Yazoo,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.40 ,$545.00 ,No,H1416,081,0,3.0,,,,,,,,,,,,
Mississippi,Yazoo,UnitedHealthcare,UHC Dual Complete MS-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H1889,011,0,4.5,,,,,,,,,,,,
Mississippi,Yazoo,Shared Health Dual Plus,Shared Health Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H3015,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Yazoo,UnitedHealthcare,UHC Dual Complete MS-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H5008,011,0,3.5,,,,,,,,,,,,
Mississippi,Yazoo,UnitedHealthcare,UHC Dual Complete MS-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H5008,016,0,3.5,,,,,,,,,,,,
Mississippi,Yazoo,Humana,HumanaChoice SNP-DE H5216-292 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,292,0,4.5,,,,,,,,,,,,
Mississippi,Yazoo,Humana,HumanaChoice SNP-DE H5216-298 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,298,0,4.5,,,,,,,,,,,,
Mississippi,Yazoo,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,334,0,4.5,,,,,,,,,,,,*
Mississippi,Yazoo,Humana,HumanaChoice SNP-DE H5216-367 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5216,367,0,4.5,,,,,,,,,,,,
Mississippi,Yazoo,Aetna Medicare,Aetna Medicare Dual Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$34.20 ,$545.00 ,No,H5521,464,0,4.0,,,,,,,,,,,,
Mississippi,Yazoo,Aetna Medicare,Aetna Medicare Dual Select Choice (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5521,465,0,4.0,,,,,,,,,,,,
Mississippi,Yazoo,Primewell Health Services,Primewell Dual Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H7163,003,0,Not enough data available,,,,,,,,,,,,
Mississippi,Yazoo,American Health Advantage of MS,American Health Advantage of Mississippi (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.10 ,$545.00 ,No,H9909,001,0,Not enough data available,,,,,,,,,,,,
Mississippi,Yazoo,Shared Health Dual Freedom,Shared Health Dual Freedom (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H9946,001,0,Plan too new to be measured,,,,,,,,,,,,
Missouri,Adair,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Adair,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Adair,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Adair,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Adair,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Adair,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Adair,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Adair,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Adair,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Andrew,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Andrew,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Andrew,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Andrew,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Andrew,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Andrew,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Andrew,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Andrew,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Andrew,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Atchison,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Atchison,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Atchison,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Atchison,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Atchison,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Atchison,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Atchison,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Atchison,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Audrain,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Audrain,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Audrain,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Audrain,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Audrain,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Audrain,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Audrain,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Audrain,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Audrain,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Audrain,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Audrain,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Audrain,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Audrain,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Audrain,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Barry,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Barry,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Barry,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Barry,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Barry,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Barry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Barry,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Barry,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Barry,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Barry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Barry,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Barry,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Barry,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Barry,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Barton,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Barton,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Barton,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Barton,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Barton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Barton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Barton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Barton,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Barton,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Barton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Barton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Barton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Bates,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Bates,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Bates,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Bates,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Bates,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Bates,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Bates,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Bates,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Bates,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Bates,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Benton,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Benton,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Benton,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Benton,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Benton,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Benton,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Benton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Benton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Benton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Benton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Bollinger,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Bollinger,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Bollinger,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Bollinger,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Bollinger,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Bollinger,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Bollinger,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Bollinger,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Bollinger,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Bollinger,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Bollinger,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Bollinger,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Boone,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Boone,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Boone,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Boone,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Boone,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Boone,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Boone,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Boone,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Boone,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Boone,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Boone,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Boone,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Boone,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Boone,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Boone,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Boone,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Boone,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Buchanan,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Buchanan,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Buchanan,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Buchanan,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Buchanan,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Buchanan,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Buchanan,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Buchanan,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Butler,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Butler,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Butler,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Butler,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Butler,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Butler,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Butler,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Butler,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Butler,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Butler,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Butler,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Butler,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Caldwell,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Caldwell,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Caldwell,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Caldwell,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Caldwell,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Caldwell,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Caldwell,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Caldwell,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Caldwell,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Caldwell,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Callaway,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Callaway,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Callaway,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Callaway,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Callaway,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Callaway,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Callaway,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Callaway,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Callaway,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,Callaway,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Callaway,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Callaway,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Callaway,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Callaway,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Camden,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Camden,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Camden,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Camden,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Camden,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Camden,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Camden,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Missouri,Camden,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Camden,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Camden,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Camden,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Camden,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Camden,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Camden,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Camden,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Cape Girardeau,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Cape Girardeau,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Cape Girardeau,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Cape Girardeau,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Cape Girardeau,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Cape Girardeau,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Cape Girardeau,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Cape Girardeau,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Cape Girardeau,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Cape Girardeau,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Cape Girardeau,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Cape Girardeau,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Cape Girardeau,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Carroll,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Carroll,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Carroll,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Carroll,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Carroll,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Carroll,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Carroll,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Carroll,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Carroll,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Carroll,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Carter,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Carter,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Carter,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Carter,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Carter,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Carter,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Carter,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Carter,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Carter,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Carter,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Cass,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Cass,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Missouri,Cass,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Cass,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Cass,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Cass,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Cass,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Cass,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Cass,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Cass,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Cass,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Cass,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Cass,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Cedar,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Cedar,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Cedar,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Cedar,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Cedar,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Cedar,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Cedar,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Cedar,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Cedar,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Cedar,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Cedar,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Cedar,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Chariton,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Chariton,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Chariton,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Chariton,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Chariton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Chariton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Chariton,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Chariton,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Chariton,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Chariton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Chariton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Christian,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Christian,Humana,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,055,0,4.0,,,,,,,,,,,,*
Missouri,Christian,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Christian,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Christian,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Christian,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Christian,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Christian,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Christian,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Christian,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Christian,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Christian,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Christian,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Christian,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Christian,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Christian,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Christian,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Clark,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Clark,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Clark,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Clark,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Clark,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Clark,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Clark,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Clark,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Clark,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Clay,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Clay,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Missouri,Clay,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Clay,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Clay,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Clay,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Clay,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Clay,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Clay,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Clay,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Clay,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Clay,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Clay,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Clay,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Clay,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Clay,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Clinton,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Clinton,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Clinton,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Clinton,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Clinton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Clinton,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Clinton,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Clinton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Clinton,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Clinton,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Clinton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Clinton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Cole,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Cole,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Cole,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Cole,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Cole,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Cole,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Cole,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Cole,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Cole,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Cole,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Cole,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Cole,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Cole,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Cole,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Cole,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Cole,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Cole,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Cooper,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Cooper,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Cooper,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Cooper,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Cooper,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Cooper,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Cooper,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Cooper,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Cooper,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Cooper,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Cooper,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Cooper,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Cooper,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Cooper,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Cooper,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Crawford,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Crawford,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Crawford,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Crawford,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Crawford,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Crawford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Crawford,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Crawford,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Crawford,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Crawford,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Crawford,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,Crawford,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,Crawford,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,Crawford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Crawford,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Crawford,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Crawford,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Crawford,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Dade,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Dade,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Dade,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Dade,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Dade,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Dade,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Dade,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Dade,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Dade,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Dade,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Dade,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Dade,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Dade,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Dade,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Dade,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Dallas,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Dallas,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Dallas,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Dallas,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Dallas,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Dallas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Dallas,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Dallas,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Dallas,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Dallas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Dallas,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Dallas,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Dallas,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Dallas,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Daviess,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Daviess,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Daviess,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Daviess,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Daviess,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Daviess,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Daviess,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Daviess,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,DeKalb,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,DeKalb,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,DeKalb,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,DeKalb,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,DeKalb,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,DeKalb,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,DeKalb,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,DeKalb,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,DeKalb,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,DeKalb,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Dent,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Dent,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Dent,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Dent,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Dent,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Dent,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Dent,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Dent,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Dent,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Dent,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Dent,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Dent,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Douglas,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Douglas,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Douglas,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Douglas,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Douglas,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Douglas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Douglas,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Douglas,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Douglas,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Douglas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Douglas,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Douglas,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Douglas,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Douglas,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Dunklin,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Dunklin,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Dunklin,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Dunklin,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Dunklin,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Dunklin,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Dunklin,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Dunklin,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Dunklin,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,051,0,4.0,,,,,,,,,,,,*
Missouri,Franklin,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Franklin,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Franklin,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Franklin,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Franklin,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Franklin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Franklin,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Franklin,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Franklin,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Franklin,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Franklin,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Franklin,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,Franklin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,Franklin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Franklin,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Franklin,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Franklin,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Franklin,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Gasconade,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Gasconade,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Gasconade,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Gasconade,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Gasconade,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Gasconade,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Gasconade,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Gasconade,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Gasconade,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Gasconade,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Gasconade,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,Gasconade,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Gasconade,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Gasconade,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Gentry,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Gentry,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Gentry,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Gentry,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Gentry,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Gentry,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Gentry,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Gentry,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Greene,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Greene,Humana,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,055,0,4.0,,,,,,,,,,,,*
Missouri,Greene,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Greene,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Greene,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Greene,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Greene,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Greene,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Greene,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Greene,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Greene,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Missouri,Greene,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Greene,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Greene,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Greene,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Greene,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Greene,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Greene,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Grundy,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Grundy,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Grundy,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Grundy,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Grundy,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Grundy,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Grundy,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Grundy,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Harrison,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Harrison,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Harrison,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Harrison,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Harrison,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Harrison,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Harrison,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Henry,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Henry,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Henry,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Henry,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Henry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Henry,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Henry,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Henry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Henry,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Henry,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Henry,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Henry,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Hickory,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Hickory,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Hickory,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Hickory,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Hickory,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Hickory,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Hickory,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Hickory,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Hickory,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Hickory,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Hickory,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Hickory,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Hickory,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Hickory,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Holt,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Holt,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Holt,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Holt,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Holt,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Holt,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Holt,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Holt,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Howard,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Howard,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Howard,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Howard,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Howard,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Howard,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Howard,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Howard,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Howard,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Howard,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Howard,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Howard,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Howell,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Howell,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Howell,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Howell,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Howell,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Howell,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Howell,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Howell,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Howell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Howell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Howell,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Howell,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Iron,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Iron,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Iron,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Iron,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Iron,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Iron,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Iron,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Iron,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Iron,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Iron,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Iron,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Iron,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Jackson,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Jackson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Missouri,Jackson,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Jackson,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Jackson,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Jackson,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Jackson,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Jackson,UnitedHealthcare,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.30 ,$0.00 ,No,H0710,066,0,5.0,,,,,,,,,,,,
Missouri,Jackson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Jackson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Missouri,Jackson,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Jackson,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Jackson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Jackson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Jackson,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Jackson,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Jackson,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Jackson,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Jasper,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Jasper,Humana,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,055,0,4.0,,,,,,,,,,,,*
Missouri,Jasper,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Jasper,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Jasper,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Jasper,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Jasper,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Jasper,UnitedHealthcare,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.30 ,$0.00 ,No,H0710,066,0,5.0,,,,,,,,,,,,
Missouri,Jasper,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Jasper,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Jasper,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Jasper,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Missouri,Jasper,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Jasper,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Jasper,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Jasper,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Jasper,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Jasper,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Jasper,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Jasper,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Jasper,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Jefferson,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Jefferson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,051,0,4.0,,,,,,,,,,,,*
Missouri,Jefferson,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Jefferson,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Jefferson,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Jefferson,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Jefferson,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Jefferson,UnitedHealthcare,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.30 ,$0.00 ,No,H0710,066,0,5.0,,,,,,,,,,,,
Missouri,Jefferson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Jefferson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Jefferson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Jefferson,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Jefferson,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Jefferson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,Jefferson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,Jefferson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Jefferson,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Jefferson,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Jefferson,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Jefferson,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Johnson,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Johnson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Missouri,Johnson,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Johnson,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Johnson,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Johnson,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Johnson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Johnson,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Johnson,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Johnson,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Johnson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Johnson,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Johnson,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Knox,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Knox,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Knox,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Knox,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Knox,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Knox,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Knox,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Knox,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Knox,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Knox,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Laclede,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Laclede,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Laclede,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Laclede,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Laclede,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Laclede,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Laclede,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Laclede,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Laclede,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Laclede,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Laclede,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Laclede,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Laclede,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Laclede,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Lafayette,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Lafayette,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Missouri,Lafayette,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Lafayette,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Lafayette,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Lafayette,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Lafayette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Lafayette,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Lafayette,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Lafayette,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Lafayette,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Lafayette,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Lafayette,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Lafayette,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Lafayette,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Lawrence,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Lawrence,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Lawrence,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Lawrence,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Lawrence,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Lawrence,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Lawrence,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Lawrence,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Lawrence,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Lawrence,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Lawrence,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Lawrence,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Lawrence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Lawrence,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Lawrence,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Lawrence,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Lawrence,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Lewis,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Lewis,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Lewis,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Lewis,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Lewis,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Lewis,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Lewis,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Lewis,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Lewis,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Lincoln,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Lincoln,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Lincoln,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Lincoln,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Lincoln,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Lincoln,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Lincoln,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Lincoln,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Lincoln,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Lincoln,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Lincoln,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Lincoln,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Lincoln,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Lincoln,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Lincoln,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Linn,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Linn,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Linn,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Linn,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Linn,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Linn,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Linn,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Linn,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Linn,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Livingston,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Livingston,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Livingston,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Livingston,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Livingston,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Livingston,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Livingston,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Livingston,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Livingston,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Livingston,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Livingston,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Livingston,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Macon,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Macon,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Macon,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Macon,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Macon,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Macon,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Macon,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Macon,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Macon,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Madison,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Madison,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Madison,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Madison,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Madison,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Madison,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Madison,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Madison,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Madison,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Madison,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Madison,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Madison,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Maries,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Maries,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Maries,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Maries,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Maries,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Maries,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Maries,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Maries,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Maries,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Maries,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Maries,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Maries,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Maries,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Maries,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Marion,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Marion,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Marion,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Marion,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Marion,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Marion,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Marion,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Marion,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Marion,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,McDonald,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,McDonald,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,McDonald,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,McDonald,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,McDonald,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,McDonald,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,McDonald,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,McDonald,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,McDonald,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,McDonald,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,McDonald,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,McDonald,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,McDonald,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,McDonald,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Mercer,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Mercer,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Mercer,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Mercer,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Mercer,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Mercer,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Mercer,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Mercer,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Miller,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Miller,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Miller,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Miller,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Miller,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Miller,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Miller,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Miller,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Miller,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Miller,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Miller,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Miller,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Miller,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Miller,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Mississippi,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Mississippi,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Mississippi,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Mississippi,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Mississippi,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Mississippi,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Mississippi,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Mississippi,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Mississippi,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Mississippi,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Mississippi,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Mississippi,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Moniteau,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Moniteau,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Moniteau,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Moniteau,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Moniteau,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Moniteau,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Moniteau,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Moniteau,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Moniteau,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Moniteau,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Moniteau,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Moniteau,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Moniteau,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Moniteau,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Monroe,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Monroe,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Monroe,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Monroe,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Monroe,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Monroe,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Monroe,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Monroe,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Monroe,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Montgomery,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Montgomery,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Montgomery,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Montgomery,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Montgomery,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Montgomery,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Montgomery,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Montgomery,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Montgomery,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Montgomery,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Montgomery,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Montgomery,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Montgomery,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Morgan,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Morgan,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Morgan,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Morgan,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Morgan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Morgan,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Morgan,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Morgan,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Morgan,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Morgan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Morgan,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Morgan,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,New Madrid,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,New Madrid,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,New Madrid,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,New Madrid,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,New Madrid,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,New Madrid,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,New Madrid,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,New Madrid,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,New Madrid,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,New Madrid,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,New Madrid,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,New Madrid,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Newton,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Newton,Humana,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,055,0,4.0,,,,,,,,,,,,*
Missouri,Newton,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Newton,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Newton,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Newton,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Newton,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,Newton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Newton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Newton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Newton,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Missouri,Newton,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Newton,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Newton,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Newton,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Newton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Newton,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Newton,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Nodaway,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Nodaway,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Nodaway,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Nodaway,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Nodaway,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Nodaway,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Nodaway,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Nodaway,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Oregon,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Oregon,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Oregon,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Oregon,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Oregon,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Oregon,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Oregon,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Oregon,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Oregon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Oregon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Oregon,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Oregon,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Osage,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Osage,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Osage,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Osage,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Osage,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Osage,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Osage,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Osage,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Osage,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Osage,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Osage,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Osage,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Osage,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Osage,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Ozark,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Ozark,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Ozark,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Ozark,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Ozark,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Ozark,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Ozark,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Ozark,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Ozark,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Ozark,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Ozark,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Ozark,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Pemiscot,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Pemiscot,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Pemiscot,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Pemiscot,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Pemiscot,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Pemiscot,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Pemiscot,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Pemiscot,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Pemiscot,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Pemiscot,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Perry,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Perry,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Perry,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Perry,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Perry,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Perry,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Perry,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Perry,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Perry,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Perry,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Pettis,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Pettis,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Pettis,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Pettis,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Pettis,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Pettis,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Pettis,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Pettis,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Phelps,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Phelps,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Phelps,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Phelps,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Phelps,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Phelps,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Phelps,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Phelps,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Phelps,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Phelps,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Phelps,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Phelps,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Phelps,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Pike,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Pike,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Pike,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Pike,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Pike,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Pike,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Pike,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Pike,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Pike,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Pike,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Pike,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Pike,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Platte,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Platte,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Missouri,Platte,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Platte,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Platte,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Platte,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Platte,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Platte,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Platte,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Platte,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Platte,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Platte,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Platte,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Platte,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Platte,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Polk,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Polk,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Polk,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Polk,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Polk,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Polk,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Polk,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Polk,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Polk,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Polk,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Polk,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Polk,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Polk,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Polk,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Polk,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Pulaski,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Pulaski,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Pulaski,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Pulaski,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Pulaski,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Pulaski,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Pulaski,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Pulaski,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Pulaski,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Pulaski,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Pulaski,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Pulaski,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Pulaski,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Pulaski,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Putnam,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Putnam,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Putnam,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Putnam,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Putnam,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Putnam,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Putnam,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Putnam,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Putnam,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Ralls,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Ralls,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Ralls,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Ralls,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Ralls,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Ralls,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Ralls,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Ralls,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Ralls,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Randolph,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Randolph,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Randolph,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Randolph,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Randolph,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Randolph,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Randolph,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Randolph,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Randolph,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Ray,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,050,0,4.0,,,,,,,,,,,,*
Missouri,Ray,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Ray,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Ray,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Ray,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Ray,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Ray,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Ray,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Ray,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Ray,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Ray,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Ray,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Ray,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Ray,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Ray,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Reynolds,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Reynolds,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Reynolds,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Reynolds,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Reynolds,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Reynolds,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Reynolds,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Reynolds,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Reynolds,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Reynolds,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Reynolds,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Reynolds,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Reynolds,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Reynolds,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Ripley,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Ripley,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Ripley,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Ripley,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Ripley,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Ripley,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Ripley,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Ripley,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Ripley,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Ripley,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Ripley,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Ripley,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Saline,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Saline,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Saline,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Saline,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Saline,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Saline,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Saline,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Saline,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Saline,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Saline,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Schuyler,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Schuyler,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Schuyler,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Schuyler,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Schuyler,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Schuyler,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Schuyler,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Schuyler,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Schuyler,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Scotland,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Scotland,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Scotland,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Scotland,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Scotland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Scotland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Scotland,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Scotland,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Scotland,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Scott,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Scott,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Scott,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Scott,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Scott,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Scott,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Scott,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Scott,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Scott,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Scott,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Scott,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Scott,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Scott,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Shannon,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Shannon,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Shannon,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Shannon,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Shannon,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Shannon,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Shannon,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Shannon,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Shannon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Shannon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Shannon,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Shannon,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Shelby,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Shelby,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Shelby,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Shelby,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Shelby,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Shelby,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Shelby,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Shelby,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Shelby,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Shelby,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,St. Charles,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,St. Charles,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,051,0,4.0,,,,,,,,,,,,*
Missouri,St. Charles,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,St. Charles,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,St. Charles,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,St. Charles,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,St. Charles,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,St. Charles,UnitedHealthcare,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.30 ,$0.00 ,No,H0710,066,0,5.0,,,,,,,,,,,,
Missouri,St. Charles,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,St. Charles,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,St. Charles,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,St. Charles,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Missouri,St. Charles,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Charles,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Charles,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,St. Charles,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Charles,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Charles,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,St. Charles,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,St. Charles,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,St. Charles,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,St. Charles,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,St. Clair,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,St. Clair,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,St. Clair,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,St. Clair,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,St. Clair,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,St. Clair,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,St. Clair,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,St. Clair,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,St. Clair,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,St. Clair,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,St. Francois,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,St. Francois,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,St. Francois,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,St. Francois,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,St. Francois,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,St. Francois,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,St. Francois,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,St. Francois,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,St. Francois,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,St. Francois,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,St. Francois,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,St. Francois,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,St. Francois,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,St. Louis,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,St. Louis,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,051,0,4.0,,,,,,,,,,,,*
Missouri,St. Louis,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,St. Louis,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,St. Louis,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,St. Louis,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,St. Louis,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,St. Louis,UnitedHealthcare,UHC Care Advantage MO-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$32.30 ,$0.00 ,No,H0710,066,0,5.0,,,,,,,,,,,,
Missouri,St. Louis,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,St. Louis,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,St. Louis,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,St. Louis,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Missouri,St. Louis,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,St. Louis,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,St. Louis,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,St. Louis,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,St. Louis,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,St. Louis,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,St. Louis City,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,St. Louis City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,051,0,4.0,,,,,,,,,,,,*
Missouri,St. Louis City,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,St. Louis City,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,St. Louis City,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,St. Louis City,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,St. Louis City,UnitedHealthcare,UHC Nursing Home Plan MO-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$36.10 ,$545.00 ,No,H0710,016,0,5.0,,,,,,,,,,,,
Missouri,St. Louis City,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,St. Louis City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,St. Louis City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,St. Louis City,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis City,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis City,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,St. Louis City,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis City,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,St. Louis City,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,St. Louis City,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,St. Louis City,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,St. Louis City,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,St. Louis City,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Ste. Genevieve,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Ste. Genevieve,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Ste. Genevieve,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Ste. Genevieve,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Ste. Genevieve,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Ste. Genevieve,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Ste. Genevieve,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Ste. Genevieve,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Ste. Genevieve,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Ste. Genevieve,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Ste. Genevieve,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Ste. Genevieve,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Ste. Genevieve,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Ste. Genevieve,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Stoddard,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Stoddard,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Stoddard,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Stoddard,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Stoddard,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Stoddard,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Stoddard,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Stoddard,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Stoddard,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Stoddard,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Stoddard,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Stoddard,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Stoddard,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Stoddard,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Stone,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Stone,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Stone,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Stone,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Stone,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Stone,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Stone,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Stone,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Stone,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Stone,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Stone,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Stone,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Stone,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Stone,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Stone,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Sullivan,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Sullivan,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Sullivan,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Sullivan,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Sullivan,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Sullivan,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Sullivan,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Sullivan,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Sullivan,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Taney,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Taney,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Taney,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Taney,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Taney,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Taney,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Taney,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Taney,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Taney,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Taney,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Taney,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Taney,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Taney,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Taney,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Taney,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Texas,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Texas,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Texas,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Texas,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Texas,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Texas,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Texas,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Texas,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Texas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Texas,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.10 ,$545.00 ,No,H9335,003,0,3.0,,,,,,,,,,,,
Missouri,Texas,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Texas,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Vernon,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Vernon,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Vernon,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Vernon,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Vernon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Vernon,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Vernon,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Vernon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Vernon,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Vernon,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Vernon,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Vernon,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Warren,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Warren,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Warren,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Warren,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Warren,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Warren,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Warren,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Warren,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Warren,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Warren,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Warren,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,005,0,4.0,,,,,,,,,,,,
Missouri,Warren,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,Warren,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,Warren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Warren,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Warren,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Warren,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Warren,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Washington,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Washington,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Washington,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Washington,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Washington,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Washington,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Washington,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Washington,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Washington,American Health Advantage of Missouri,American Health Advantage of Missouri (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,001,0,Not enough data available,,,,,,,,,,,,
Missouri,Washington,American Health Advantage of Missouri,American Health Advantage of Missouri Choice (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H4490,003,0,Not enough data available,,,,,,,,,,,,
Missouri,Washington,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Washington,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,009,0,Not enough data available,,,,,,,,,,,,
Missouri,Washington,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.90 ,$545.00 ,No,H7389,010,0,Not enough data available,,,,,,,,,,,,
Missouri,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Washington,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Washington,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Washington,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Washington,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Wayne,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Wayne,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Wayne,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Wayne,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Wayne,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Wayne,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Wayne,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Wayne,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5325,006,0,4.0,,,,,,,,,,,,
Missouri,Wayne,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Wayne,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Webster,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Webster,Humana,Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,055,0,4.0,,,,,,,,,,,,*
Missouri,Webster,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Webster,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Webster,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Webster,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Webster,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Webster,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Webster,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Webster,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Webster,Healthy Blue,Healthy Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H6316,002,0,Not enough data available,,,,,,,,,,,,
Missouri,Webster,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Webster,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Webster,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Webster,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Webster,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Worth,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Worth,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Worth,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Worth,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Worth,Humana,HumanaChoice SNP-DE H5216-164 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H5216,164,0,4.5,,,,,,,,,,,,
Missouri,Worth,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5325,003,0,4.0,,,,,,,,,,,,
Missouri,Worth,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Worth,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Missouri,Wright,Humana,Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0028,015,0,4.0,,,,,,,,,,,,
Missouri,Wright,UnitedHealthcare,UHC Dual Complete MO-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,002,0,5.0,,,,,,,,,,,,
Missouri,Wright,UnitedHealthcare,UHC Dual Complete MO-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0169,008,0,5.0,,,,,,,,,,,,
Missouri,Wright,UnitedHealthcare,UHC Dual Complete MO-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.70 ,$545.00 ,No,H0271,029,0,4.0,,,,,,,,,,,,
Missouri,Wright,UnitedHealthcare,UHC Complete Care MO-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,052,0,4.0,,,,,,,,,,,,*
Missouri,Wright,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H1664,005,0,3.0,,,,,,,,,,,,
Missouri,Wright,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.90 ,$545.00 ,No,H3447,018,0,3.5,,,,,,,,,,,,
Missouri,Wright,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H3447,047,0,3.5,,,,,,,,,,,,
Missouri,Wright,Aetna Medicare,Aetna Medicare Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.40 ,$545.00 ,No,H5325,004,0,4.0,,,,,,,,,,,,
Missouri,Wright,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.50 ,$545.00 ,No,H7518,003,0,3.0,,,,,,,,,,,,
Missouri,Wright,Provider Partners Health Plans,Provider Partners Missouri Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$43.70 ,$545.00 ,No,H9191,001,0,3.5,,,,,,,,,,,,
Missouri,Wright,Provider Partners Health Plans,Provider Partners Missouri Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H9191,004,0,3.5,,,,,,,,,,,,
Missouri,Wright,UnitedHealthcare,UHC Complete Care AM-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$19.40 ,$545.00 ,No,R3444,008,0,3.5,,,,,,,,,,,,*
Missouri,Wright,UnitedHealthcare,UHC Complete Care AM-0001 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$31.00 ,$250.00 ,Yes,R3444,009,0,3.5,,,,,,,,,,,,*
Montana,Beaverhead,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Beaverhead,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Big Horn,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Big Horn,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Broadwater,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Broadwater,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Carbon,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Carbon,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Carter,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Cascade,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Chouteau,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Custer,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Dawson,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Deer Lodge,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Deer Lodge,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Fergus,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Flathead,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Flathead,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Gallatin,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Glacier,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Golden Valley,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Golden Valley,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Granite,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Granite,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Jefferson,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Jefferson,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Judith Basin,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Judith Basin,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Lake,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Lake,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Lewis and Clark,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Liberty,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Lincoln,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Lincoln,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Madison,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,McCone,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Meagher,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Meagher,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Mineral,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Mineral,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Missoula,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Musselshell,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Musselshell,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Park,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Pondera,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Pondera,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Powell,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Powell,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Ravalli,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Ravalli,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Richland,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Rosebud,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Sanders,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Sanders,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Sheridan,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Silver Bow,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Stillwater,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Stillwater,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Sweet Grass,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Sweet Grass,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Teton,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Teton,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Toole,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Treasure,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Treasure,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Wheatland,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Wheatland,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Montana,Wibaux,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Yellowstone,UnitedHealthcare,UHC Dual Complete MT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,030,0,4.0,,,,,,,,,,,,
Montana,Yellowstone,Humana,Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H6622,008,0,4.0,,,,,,,,,,,,
Nebraska,Adams,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Adams,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Adams,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Adams,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Adams,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Adams,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Adams,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Adams,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Adams,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Antelope,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Antelope,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Antelope,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Antelope,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Antelope,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Antelope,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Antelope,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Antelope,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Antelope,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Banner,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Banner,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Blaine,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Blaine,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Boone,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Boone,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Boone,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Boone,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Boone,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Boone,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Boone,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Boone,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Boone,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Boyd,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Boyd,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Boyd,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Boyd,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Boyd,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Buffalo,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Buffalo,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Buffalo,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Buffalo,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Buffalo,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Buffalo,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Buffalo,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Buffalo,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Buffalo,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Burt,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Burt,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Burt,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Burt,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Burt,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Burt,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Burt,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Burt,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Burt,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Burt,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Butler,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Butler,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Butler,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Butler,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Butler,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Butler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Butler,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Butler,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Butler,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Butler,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Cass,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Cass,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Cass,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Cass,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Cass,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Cass,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Cass,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Cass,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Cass,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Cass,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Cedar,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Cedar,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Cedar,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Cedar,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Cedar,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Cedar,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Cedar,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Cedar,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Cedar,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Clay,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Clay,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Clay,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Clay,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Clay,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Clay,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Clay,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Clay,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Clay,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Colfax,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Colfax,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Colfax,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Colfax,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Colfax,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Colfax,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Colfax,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Colfax,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Colfax,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Colfax,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Cuming,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Cuming,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Cuming,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Cuming,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Cuming,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Cuming,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Cuming,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Cuming,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Cuming,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Cuming,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Custer,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Custer,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Custer,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Custer,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Custer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Custer,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Custer,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Custer,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Custer,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Dakota,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Dakota,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Dakota,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Dakota,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Dakota,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Dakota,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Dakota,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Dakota,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Dawson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Dawson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Dixon,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Dixon,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Dixon,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Dixon,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Dixon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Dixon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Dixon,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Dixon,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Dixon,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Dixon,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Dodge,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Dodge,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Dodge,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Dodge,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Dodge,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Dodge,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Dodge,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Dodge,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Dodge,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Dodge,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Douglas,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Douglas,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Douglas,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Douglas,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Douglas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Douglas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Douglas,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Douglas,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Douglas,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Douglas,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Fillmore,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Fillmore,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Fillmore,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Fillmore,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Fillmore,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Fillmore,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Fillmore,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Fillmore,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Fillmore,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Fillmore,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Franklin,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Franklin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Franklin,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Franklin,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Frontier,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Frontier,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Frontier,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Frontier,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Frontier,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Furnas,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Furnas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Furnas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Furnas,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Furnas,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Furnas,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Furnas,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Gage,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Gage,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Gage,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Gage,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Gage,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Gage,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Gage,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Gage,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Gage,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Gage,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Garfield,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Garfield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Garfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Garfield,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Garfield,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Gosper,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Gosper,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Gosper,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Gosper,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Gosper,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Greeley,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Greeley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Greeley,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Greeley,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Greeley,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Hall,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Hall,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Hall,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Hall,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Hall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Hall,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Hall,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Hall,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Hall,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Hamilton,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Hamilton,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Hamilton,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Hamilton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Hamilton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Hamilton,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Hamilton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Hamilton,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Hamilton,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Harlan,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Harlan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Harlan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Harlan,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Harlan,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Harlan,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Harlan,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Hayes,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Hayes,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Hitchcock,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Hitchcock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Holt,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Holt,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Holt,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Holt,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Holt,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Holt,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Holt,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Howard,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Howard,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Howard,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Howard,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Howard,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Howard,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Howard,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Howard,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Howard,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Jefferson,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Jefferson,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Jefferson,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Jefferson,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Jefferson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Jefferson,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Jefferson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Jefferson,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Jefferson,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Johnson,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Johnson,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Johnson,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Johnson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Johnson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Johnson,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Johnson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Kearney,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Kearney,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Kearney,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Kearney,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Kearney,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Kearney,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Kearney,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Kearney,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Kearney,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Keith,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Keith,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Knox,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Knox,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Knox,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Knox,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Knox,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Knox,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Knox,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Knox,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Knox,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Lancaster,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Lancaster,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Lancaster,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Lancaster,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Lancaster,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Lancaster,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Lancaster,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Lancaster,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Lancaster,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Lancaster,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Lincoln,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Logan,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Logan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Logan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Logan,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Loup,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Loup,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Loup,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Madison,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Madison,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Madison,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Madison,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Madison,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Madison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Madison,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Madison,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Madison,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Madison,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Merrick,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Merrick,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Merrick,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Merrick,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Merrick,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Merrick,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Merrick,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Merrick,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Merrick,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Nance,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Nance,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Nance,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Nance,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Nance,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Nance,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Nance,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Nance,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Nemaha,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Nemaha,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Nemaha,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Nemaha,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Nemaha,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Nemaha,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Nemaha,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Nemaha,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Nuckolls,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Nuckolls,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Nuckolls,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Nuckolls,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Nuckolls,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Nuckolls,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Nuckolls,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Otoe,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Otoe,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Otoe,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Otoe,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Otoe,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Otoe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Otoe,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Otoe,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Otoe,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Otoe,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Pawnee,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Pawnee,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Pawnee,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Pawnee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Pawnee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Pawnee,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Pawnee,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Perkins,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Perkins,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Phelps,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Phelps,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Phelps,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Phelps,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Phelps,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Phelps,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Phelps,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Pierce,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Pierce,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Pierce,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Pierce,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Pierce,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Pierce,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Pierce,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Pierce,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Pierce,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Platte,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Platte,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Platte,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Platte,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Platte,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Platte,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Platte,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Platte,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Polk,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Polk,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Polk,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Polk,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Polk,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Polk,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Polk,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Polk,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Polk,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Polk,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Richardson,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Richardson,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Richardson,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Rock,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Rock,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Rock,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Saline,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Saline,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Saline,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Saline,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Saline,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Saline,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Saline,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Saline,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Sarpy,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Sarpy,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Sarpy,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Sarpy,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Sarpy,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Sarpy,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Sarpy,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Sarpy,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Sarpy,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Sarpy,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Saunders,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Saunders,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Saunders,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Saunders,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Saunders,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Saunders,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Saunders,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Saunders,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Saunders,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Saunders,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Scotts Bluff,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Scotts Bluff,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Seward,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Seward,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Seward,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Seward,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Seward,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Seward,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Seward,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Seward,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Seward,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Seward,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Sherman,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Sherman,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Sherman,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Sherman,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Sherman,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Sherman,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Sherman,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Sherman,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Sherman,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Stanton,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Stanton,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Stanton,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Stanton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Stanton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Stanton,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Stanton,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Stanton,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Stanton,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Thayer,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Thayer,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Thayer,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Thayer,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Thayer,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Thayer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Thayer,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Thayer,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Thurston,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Thurston,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Thurston,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Thurston,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Thurston,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Thurston,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Valley,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Valley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Valley,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Valley,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Valley,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Valley,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Valley,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Washington,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Washington,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Washington,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Washington,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Washington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Washington,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Washington,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Washington,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Washington,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Wayne,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,Wayne,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Wayne,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Wayne,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Wayne,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Wayne,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Wayne,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Wayne,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Wayne,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Webster,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,Webster,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,Webster,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Webster,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Webster,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Webster,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Webster,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,Webster,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,Webster,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nebraska,Wheeler,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,Wheeler,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,Wheeler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,Wheeler,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,Wheeler,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,York,Humana,Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,007,0,4.0,,,,,,,,,,,,
Nebraska,York,UnitedHealthcare,UHC Dual Complete NE-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,003,0,5.0,,,,,,,,,,,,
Nebraska,York,UnitedHealthcare,UHC Dual Complete NE-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0169,006,0,5.0,,,,,,,,,,,,
Nebraska,York,UnitedHealthcare,UHC Dual Complete NE-S002 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,050,0,4.0,,,,,,,,,,,,
Nebraska,York,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H1215,001,0,3.0,,,,,,,,,,,,
Nebraska,York,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.90 ,$545.00 ,No,H1395,001,0,2.5,,,,,,,,,,,,
Nebraska,York,UnitedHealthcare,UHC Dual Complete NE-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$42.20 ,$545.00 ,No,H2802,053,0,4.0,,,,,,,,,,,,
Nebraska,York,Aetna Medicare,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H7149,006,0,4.0,,,,,,,,,,,,
Nebraska,York,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$31.10 ,$545.00 ,No,H7511,001,0,Not enough data available,,,,,,,,,,,,
Nebraska,York,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H7511,002,0,Not enough data available,,,,,,,,,,,,
Nevada,Carson City,Senior Care Plus,Senior Care Plus Extensive Duals Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H2960,024,0,3.5,,,,,,,,,,,,
Nevada,Carson City,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.10 ,$545.00 ,No,H4711,013,0,3.0,,,,,,,,,,,,
Nevada,Carson City,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Carson City,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.00 ,$545.00 ,No,H5945,017,0,3.5,,,,,,,,,,,,
Nevada,Carson City,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H6446,016,0,3.0,,,,,,,,,,,,
Nevada,Carson City,Champion Health Plan of Nevada,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6474,001,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Carson City,Champion Health Plan of Nevada,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$545.00 ,Yes,H6474,002,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Carson City,Champion Health Plan of Nevada,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$0.00 ,Yes,H6474,003,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Carson City,Humana,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H6622,079,0,4.0,,,,,,,,,,,,
Nevada,Carson City,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9686,004,0,3.5,,,,,,,,,,,,*
Nevada,Carson City,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$7.60 ,$545.00 ,No,H9686,005,0,3.5,,,,,,,,,,,,
Nevada,Churchill,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.10 ,$545.00 ,No,H4711,013,0,3.0,,,,,,,,,,,,
Nevada,Churchill,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Churchill,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.00 ,$545.00 ,No,H5945,017,0,3.5,,,,,,,,,,,,
Nevada,Churchill,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H6446,016,0,3.0,,,,,,,,,,,,
Nevada,Churchill,Champion Health Plan of Nevada,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6474,001,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Churchill,Champion Health Plan of Nevada,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$545.00 ,Yes,H6474,002,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Churchill,Champion Health Plan of Nevada,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$0.00 ,Yes,H6474,003,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Clark,UnitedHealthcare,UHC Complete Care NV-0004 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,037,0,4.5,,,,,,,,,,,,*
Nevada,Clark,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0978,002,0,3.0,,,,*,,,,,,,,
Nevada,Clark,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0978,003,0,3.0,,,,,,,,,*,,,
Nevada,Clark,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$32.00 ,$545.00 ,No,H0978,010,0,3.0,,,,,,,,,,,,*
Nevada,Clark,UnitedHealthcare,UHC Dual Complete NV-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H1360,001,0,3.5,,,,,,,,,,,,
Nevada,Clark,UnitedHealthcare,UHC Dual Complete NV-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H1889,012,0,4.5,,,,,,,,,,,,
Nevada,Clark,Molina Healthcare of Nevada,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2478,001,0,Plan too new to be measured,,,,,,,,,,,,
Nevada,Clark,Anthem Blue Cross and Blue Shield,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,005,0,3.0,,,,,,,*,,,,,
Nevada,Clark,Anthem Blue Cross and Blue Shield,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,006,0,3.0,,,,,,,,,,,,*
Nevada,Clark,Anthem Blue Cross and Blue Shield,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4346,010,0,3.0,,,,,,,,,,,,
Nevada,Clark,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$15.90 ,$545.00 ,No,H4346,025,0,3.0,,,,,,,,,,,,
Nevada,Clark,Anthem Blue Cross and Blue Shield,Anthem I Carelon Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$19.10 ,$545.00 ,No,H4346,026,0,3.0,,,,,,,,,,,,
Nevada,Clark,Aetna Medicare,Aetna Medicare Dual Prime Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H4711,011,0,3.0,,,,,,,,,,,,
Nevada,Clark,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Clark,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.50 ,$545.00 ,No,H6446,014,0,3.0,,,,,,,,,,,,
Nevada,Clark,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6446,017,0,3.0,,,,,,,,,,,,*
Nevada,Clark,Champion Health Plan of Nevada,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6474,001,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Clark,Champion Health Plan of Nevada,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$545.00 ,Yes,H6474,002,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Clark,Champion Health Plan of Nevada,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$0.00 ,Yes,H6474,003,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Clark,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,029,0,4.0,,,,,,,,,,,,*
Nevada,Clark,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,030,0,4.0,,,,,,,*,,,,,
Nevada,Clark,Humana,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H6622,079,0,4.0,,,,,,,,,,,,
Nevada,Clark,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9686,004,0,3.5,,,,,,,,,,,,*
Nevada,Clark,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$7.60 ,$545.00 ,No,H9686,005,0,3.5,,,,,,,,,,,,
Nevada,Douglas,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.10 ,$545.00 ,No,H4711,013,0,3.0,,,,,,,,,,,,
Nevada,Douglas,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Douglas,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.00 ,$545.00 ,No,H5945,017,0,3.5,,,,,,,,,,,,
Nevada,Douglas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H6446,016,0,3.0,,,,,,,,,,,,
Nevada,Douglas,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9686,004,0,3.5,,,,,,,,,,,,*
Nevada,Douglas,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$7.60 ,$545.00 ,No,H9686,005,0,3.5,,,,,,,,,,,,
Nevada,Lyon,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.10 ,$545.00 ,No,H4711,013,0,3.0,,,,,,,,,,,,
Nevada,Lyon,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Lyon,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.00 ,$545.00 ,No,H5945,017,0,3.5,,,,,,,,,,,,
Nevada,Lyon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H6446,016,0,3.0,,,,,,,,,,,,
Nevada,Mineral,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Nye,UnitedHealthcare,UHC Complete Care NV-0004 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,037,0,4.5,,,,,,,,,,,,*
Nevada,Nye,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0978,006,0,3.0,,,,*,,,,,,,,
Nevada,Nye,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0978,007,0,3.0,,,,,,,,,*,,,
Nevada,Nye,UnitedHealthcare,UHC Dual Complete NV-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H1360,001,0,3.5,,,,,,,,,,,,
Nevada,Nye,UnitedHealthcare,UHC Dual Complete NV-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H1889,012,0,4.5,,,,,,,,,,,,
Nevada,Nye,Aetna Medicare,Aetna Medicare Dual Prime Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H4711,011,0,3.0,,,,,,,,,,,,
Nevada,Nye,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Nye,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.50 ,$545.00 ,No,H6446,014,0,3.0,,,,,,,,,,,,
Nevada,Nye,Wellcare by Allwell,Wellcare Specialty No Premium (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6446,017,0,3.0,,,,,,,,,,,,*
Nevada,Nye,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,029,0,4.0,,,,,,,,,,,,*
Nevada,Nye,Humana,Humana Gold Plus Lung (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,030,0,4.0,,,,,,,*,,,,,
Nevada,Nye,Humana,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H6622,079,0,4.0,,,,,,,,,,,,
Nevada,Nye,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9686,004,0,3.5,,,,,,,,,,,,*
Nevada,Nye,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$7.60 ,$545.00 ,No,H9686,005,0,3.5,,,,,,,,,,,,
Nevada,Storey,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.10 ,$545.00 ,No,H4711,013,0,3.0,,,,,,,,,,,,
Nevada,Storey,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Storey,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.00 ,$545.00 ,No,H5945,017,0,3.5,,,,,,,,,,,,
Nevada,Storey,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H6446,016,0,3.0,,,,,,,,,,,,
Nevada,Storey,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9686,004,0,3.5,,,,,,,,,,,,*
Nevada,Storey,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$7.60 ,$545.00 ,No,H9686,005,0,3.5,,,,,,,,,,,,
Nevada,Washoe,UnitedHealthcare,UHC Dual Complete NV-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H1360,001,0,3.5,,,,,,,,,,,,
Nevada,Washoe,UnitedHealthcare,UHC Dual Complete NV-S002 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H1889,012,0,4.5,,,,,,,,,,,,
Nevada,Washoe,Molina Healthcare of Nevada,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H2478,001,0,Plan too new to be measured,,,,,,,,,,,,
Nevada,Washoe,Senior Care Plus,Senior Care Plus Extensive Duals Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H2960,024,0,3.5,,,,,,,,,,,,
Nevada,Washoe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$15.90 ,$545.00 ,No,H4346,025,0,3.0,,,,,,,,,,,,
Nevada,Washoe,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.10 ,$545.00 ,No,H4711,013,0,3.0,,,,,,,,,,,,
Nevada,Washoe,Humana,HumanaChoice SNP-DE H5216-302 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H5216,302,0,4.5,,,,,,,,,,,,
Nevada,Washoe,Prominence Health Plan,Prominence Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5945,016,0,3.5,,,,,,,,,*,,,
Nevada,Washoe,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$32.00 ,$545.00 ,No,H5945,018,0,3.5,,,,,,,,,,,,
Nevada,Washoe,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.80 ,$545.00 ,No,H6446,016,0,3.0,,,,,,,,,,,,
Nevada,Washoe,Champion Health Plan of Nevada,Champion Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6474,001,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Washoe,Champion Health Plan of Nevada,Champion Connect (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$545.00 ,Yes,H6474,002,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Washoe,Champion Health Plan of Nevada,Champion Select (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$32.00 ,$0.00 ,Yes,H6474,003,0,Plan too new to be measured,,,,,*,,,,,,,
Nevada,Washoe,Humana,Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.10 ,$545.00 ,No,H6622,079,0,4.0,,,,,,,,,,,,
Nevada,Washoe,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H9686,004,0,3.5,,,,,,,,,,,,*
Nevada,Washoe,Alignment Health Plan,Alignment Health the ONE (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$7.60 ,$545.00 ,No,H9686,005,0,3.5,,,,,,,,,,,,
New Hampshire,Belknap,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Carroll,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Cheshire,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Coos,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Grafton,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Hillsborough,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Merrimack,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Rockingham,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Strafford,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Hampshire,Sullivan,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Atlantic,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Atlantic,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Atlantic,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Atlantic,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Atlantic,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Atlantic,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Atlantic,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Atlantic,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Bergen,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Bergen,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Bergen,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Bergen,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Bergen,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Bergen,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Bergen,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Bergen,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Bergen,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Bergen,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Bergen,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Burlington,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Burlington,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Burlington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Burlington,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Burlington,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Burlington,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Burlington,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Burlington,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Burlington,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Burlington,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Burlington,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Camden,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Camden,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Camden,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Camden,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Camden,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Camden,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Camden,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Camden,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Camden,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Cape May,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Cape May,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Cape May,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Cape May,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Cape May,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Cape May,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Cape May,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Cumberland,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Cumberland,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Cumberland,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Cumberland,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Cumberland,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Cumberland,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Cumberland,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Essex,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Essex,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Essex,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Essex,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Essex,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Essex,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Essex,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Essex,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Essex,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Essex,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Essex,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Gloucester,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Gloucester,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Gloucester,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Gloucester,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Gloucester,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Gloucester,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Gloucester,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Gloucester,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Hudson,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Hudson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Hudson,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Hudson,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Hudson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Hudson,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Hudson,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Hudson,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Hudson,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Hudson,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Hunterdon,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Hunterdon,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Hunterdon,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Hunterdon,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Hunterdon,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Hunterdon,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Mercer,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Mercer,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Mercer,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Mercer,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Mercer,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Mercer,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Mercer,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Mercer,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Mercer,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Mercer,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Middlesex,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Middlesex,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Middlesex,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Middlesex,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Middlesex,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Middlesex,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Middlesex,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Middlesex,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Middlesex,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Middlesex,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Monmouth,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Monmouth,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Monmouth,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Monmouth,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Monmouth,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Monmouth,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Monmouth,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Monmouth,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Monmouth,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
New Jersey,Monmouth,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
New Jersey,Monmouth,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Monmouth,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Monmouth,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Morris,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Morris,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Morris,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Morris,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Morris,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Morris,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Morris,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Morris,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Morris,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
New Jersey,Morris,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
New Jersey,Morris,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Morris,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Morris,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Ocean,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Ocean,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Ocean,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Ocean,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Ocean,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Ocean,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Ocean,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Ocean,UnitedHealthcare,UHC Nursing Home Plan EX-F006 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.00 ,$545.00 ,No,H5322,003,0,4.0,,,,,,,,,,,,
New Jersey,Ocean,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Ocean,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Ocean,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Passaic,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Passaic,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Passaic,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Passaic,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Passaic,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Passaic,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Passaic,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Passaic,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Passaic,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Passaic,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Passaic,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Salem,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Salem,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Salem,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Salem,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Salem,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Salem,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Somerset,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Somerset,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Somerset,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Somerset,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Somerset,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Somerset,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Somerset,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Somerset,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Somerset,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Somerset,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Somerset,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Sussex,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Sussex,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Sussex,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Sussex,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Sussex,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Sussex,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Sussex,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Union,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Union,UnitedHealthcare,UHC Care Advantage NJ-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$34.00 ,$0.00 ,No,H0710,056,0,5.0,,,,,,,,,,,,
New Jersey,Union,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Union,UnitedHealthcare,UHC Nursing Home Plan NJ-F001 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$30.70 ,$545.00 ,No,H3113,001,0,3.5,,,,,,,,,,,,
New Jersey,Union,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Union,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Union,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$33.90 ,$160.00 ,No,H3240,017,0,3.0,,,,,*,,,,,,,
New Jersey,Union,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Union,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
New Jersey,Union,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
New Jersey,Union,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Union,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Union,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Jersey,Warren,UnitedHealthcare,UHC Nursing Home Plan EX-F003 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$33.50 ,$545.00 ,No,H0710,026,0,5.0,,,,,,,,,,,,
New Jersey,Warren,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,BA,$43.70 ,$495.00 ,No,H0913,013,0,3.5,,,,,,,,,,,,
New Jersey,Warren,UnitedHealthcare,UHC Dual Complete NJ-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.20 ,$545.00 ,No,H3113,005,0,3.5,,,,,,,,,,,,
New Jersey,Warren,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$35.60 ,$545.00 ,No,H3240,013,0,3.0,,,,,,,,,,,,
New Jersey,Warren,Wellpoint,Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$44.90 ,$545.00 ,No,H3240,024,0,3.0,,,,,,,,,,,,
New Jersey,Warren,Aetna Better Health of New Jersey,Aetna Assure Premier Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$39.10 ,$545.00 ,No,H6399,001,0,3.0,,,,,,,,,,,,
New Jersey,Warren,Horizon Blue Cross Blue Shield of New Jersey,Horizon NJ TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$45.50 ,$545.00 ,No,H8298,001,0,3.5,,,,,,,,,,,,
New Jersey,Warren,Longevity Health Plan,Longevity Health Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.10 ,$545.00 ,No,H9942,001,0,3.5,,,,,,,,,,,,
New Mexico,Bernalillo,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Bernalillo,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Bernalillo,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Bernalillo,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Bernalillo,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Bernalillo,SCAN Health Plan New Mexico,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5244,002,0,Plan too new to be measured,,,,*,,,,,,,,
New Mexico,Bernalillo,SCAN Health Plan New Mexico,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5244,003,0,Plan too new to be measured,,,,,,,,,*,,,
New Mexico,Bernalillo,SCAN Health Plan New Mexico,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$35.60 ,$545.00 ,No,H5244,004,0,Plan too new to be measured,,,,,,,,,,,,*
New Mexico,Bernalillo,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Catron,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Catron,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Catron,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Chaves,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Chaves,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Chaves,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Chaves,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,5,3.0,,,,,,,,,,,,
New Mexico,Chaves,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Chaves,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Cibola,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Cibola,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Cibola,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Cibola,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Cibola,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Colfax,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Colfax,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Colfax,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Curry,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Curry,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Curry,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Curry,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,5,3.0,,,,,,,,,,,,
New Mexico,Curry,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Curry,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,DeBaca,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,DeBaca,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,DeBaca,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Dona Ana,UnitedHealthcare,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$20.40 ,$545.00 ,No,H0271,034,0,4.0,,,,,,,,,,,,*
New Mexico,Dona Ana,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Dona Ana,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Dona Ana,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Dona Ana,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Dona Ana,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Eddy,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Eddy,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Eddy,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Eddy,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Grant,UnitedHealthcare,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$20.40 ,$545.00 ,No,H0271,034,0,4.0,,,,,,,,,,,,*
New Mexico,Grant,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Grant,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Grant,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Grant,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Guadalupe,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Guadalupe,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Guadalupe,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Harding,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Harding,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Harding,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Hidalgo,UnitedHealthcare,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$20.40 ,$545.00 ,No,H0271,034,0,4.0,,,,,,,,,,,,*
New Mexico,Hidalgo,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Lea,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Lea,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Lea,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Lincoln,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Lincoln,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Lincoln,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Lincoln,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Lincoln,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Los Alamos,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Los Alamos,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Los Alamos,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Los Alamos,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Los Alamos,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Luna,UnitedHealthcare,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$20.40 ,$545.00 ,No,H0271,034,0,4.0,,,,,,,,,,,,*
New Mexico,Luna,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Luna,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Luna,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Luna,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,McKinley,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,McKinley,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,McKinley,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,McKinley,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,McKinley,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Mora,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Mora,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Mora,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Otero,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Otero,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Otero,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Otero,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Otero,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Otero,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Quay,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Quay,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Quay,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Quay,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,5,3.0,,,,,,,,,,,,
New Mexico,Quay,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Quay,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Rio Arriba,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Rio Arriba,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Rio Arriba,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Rio Arriba,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Rio Arriba,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Roosevelt,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Roosevelt,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Roosevelt,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Roosevelt,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,5,3.0,,,,,,,,,,,,
New Mexico,Roosevelt,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Roosevelt,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,San Juan,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,San Juan,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,San Juan,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,San Juan,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,5,3.0,,,,,,,,,,,,
New Mexico,San Juan,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,San Miguel,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,San Miguel,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,San Miguel,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,San Miguel,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,San Miguel,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Sandoval,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Sandoval,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Sandoval,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Sandoval,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Sandoval,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Sandoval,SCAN Health Plan New Mexico,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5244,002,0,Plan too new to be measured,,,,*,,,,,,,,
New Mexico,Sandoval,SCAN Health Plan New Mexico,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5244,003,0,Plan too new to be measured,,,,,,,,,*,,,
New Mexico,Sandoval,SCAN Health Plan New Mexico,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$35.60 ,$545.00 ,No,H5244,004,0,Plan too new to be measured,,,,,,,,,,,,*
New Mexico,Sandoval,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Santa Fe,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Santa Fe,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Santa Fe,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Santa Fe,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Santa Fe,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Santa Fe,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Sierra,UnitedHealthcare,UHC Complete Care EP-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$20.40 ,$545.00 ,No,H0271,034,0,4.0,,,,,,,,,,,,*
New Mexico,Sierra,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Sierra,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Socorro,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Socorro,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Socorro,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Taos,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Taos,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Taos,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Taos,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Taos,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Taos,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Torrance,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Torrance,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Torrance,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Torrance,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Torrance,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Torrance,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New Mexico,Union,UnitedHealthcare,UHC Complete Care NM-002A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.50 ,$545.00 ,No,H0271,035,0,4.0,,,,,,,,,,,,*
New Mexico,Union,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Valencia,UnitedHealthcare,UHC Complete Care NM-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$12.90 ,$545.00 ,No,H0271,033,0,4.0,,,,,,,,,,,,*
New Mexico,Valencia,Wellcare by Allwell,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$25.60 ,$545.00 ,No,H2134,001,0,3.0,,,,,,,,,,,,
New Mexico,Valencia,Wellcare by Allwell,Wellcare All Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.00 ,$545.00 ,No,H2134,003,0,3.0,,,,,,,,,,,,
New Mexico,Valencia,Presbyterian Health Plan,Presbyterian Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$35.60 ,$545.00 ,No,H3204,013,4,3.0,,,,,,,,,,,,
New Mexico,Valencia,Blue Cross and Blue Shield of New Mexico,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H3251,029,0,3.0,,,,,,,,,,,,
New Mexico,Valencia,"Blue Cross and Blue Shield of IL, NM",Blue Cross MA Dual Care Plus Preferred (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$35.60 ,$545.00 ,No,H8634,009,0,3.0,,,,,,,,,,,,
New York,Albany,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Albany,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Albany,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Albany,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Albany,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Albany,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Albany,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Albany,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Albany,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Albany,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Albany,CDPHP Medicare Advantage,CDPHP Care Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3388,018,0,4.5,,,,,,,,,,,,*
New York,Albany,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Albany,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Albany,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Albany,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Albany,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Albany,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Albany,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Albany,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Albany,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Albany,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Albany,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Albany,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Allegany,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Allegany,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Allegany,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Allegany,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Allegany,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Allegany,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Allegany,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Allegany,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Allegany,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Allegany,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Allegany,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Bronx,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Bronx,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Bronx,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,2,4.0,,,,,,,,,,,,
New York,Bronx,MetroPlus Health Plan,MetroPlus Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H0423,001,0,3.5,,,,,,,,,,,,
New York,Bronx,MetroPlus Health Plan,MetroPlus UltraCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H0423,007,0,3.5,,,,,,,,,,,,
New York,Bronx,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Bronx,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Bronx,VillageCareMAX,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,001,0,3.5,,,,,,,,,,,,
New York,Bronx,VillageCareMAX,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,002,0,3.5,,,,,,,,,,,,
New York,Bronx,VillageCareMAX,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,003,0,3.5,,,,,,,,,,,,
New York,Bronx,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Bronx,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Bronx,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Bronx,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Bronx,Elderplan,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.90 ,$545.00 ,No,H3347,002,0,3.5,,,,,,,,,,,,
New York,Bronx,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Bronx,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Bronx,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Bronx,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Bronx,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Bronx,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Bronx,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Bronx,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Bronx,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,2,3.5,,,,,,,,,,,,
New York,Bronx,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,2,3.5,,,,,,,,,,,,
New York,Bronx,Humana,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3533,034,2,3.0,,,,,,,,,,,,
New York,Bronx,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4868,014,0,3.0,,,,,,,,,,,,
New York,Bronx,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Bronx,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Bronx,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Bronx,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Bronx,Humana,HumanaChoice SNP-DE H5970-026 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H5970,026,0,3.5,,,,,,,,,,,,
New York,Bronx,EmblemHealth,EmblemHealth VIP Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$24.80 ,$545.00 ,No,H5991,010,0,3.0,,,,,,,,,,,,
New York,Bronx,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,1,3.0,,,,,,,,,,,,
New York,Bronx,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Bronx,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,Bronx,RiverSpring Health Plans,RiverSpring Star (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6776,001,0,Not enough data available,,,,,,,,,,,,
New York,Bronx,RiverSpring Health Plans,RiverSpring MAP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6776,002,0,Not enough data available,,,,,,,,,,,,
New York,Bronx,Centers Plan for Healthy Living,Centers Plan for Dual Coverage Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H6988,002,0,4.0,,,,,,,,,,,,
New York,Bronx,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Bronx,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Bronx,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,Bronx,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Bronx,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,Broome,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Broome,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Broome,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Broome,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Broome,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Broome,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Broome,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Broome,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Broome,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Broome,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Broome,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Broome,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Broome,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Broome,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Broome,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Broome,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Broome,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Cattaraugus,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Cattaraugus,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Cattaraugus,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Cattaraugus,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Cattaraugus,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Cattaraugus,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Cattaraugus,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Cattaraugus,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Cattaraugus,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Cattaraugus,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Cattaraugus,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Cattaraugus,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Cayuga,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Cayuga,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Cayuga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Cayuga,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Cayuga,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Cayuga,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Cayuga,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Cayuga,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Cayuga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Cayuga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Cayuga,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Chautauqua,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Chautauqua,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Chautauqua,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Chautauqua,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Chautauqua,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Chautauqua,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Chautauqua,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Chautauqua,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Chautauqua,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Chautauqua,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Chautauqua,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Chautauqua,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Chemung,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Chemung,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Chemung,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Chemung,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Chemung,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Chemung,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Chemung,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Chemung,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Chemung,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Chemung,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Chenango,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Chenango,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Chenango,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Chenango,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Chenango,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Chenango,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Chenango,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Chenango,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Chenango,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Chenango,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Chenango,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Clinton,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Clinton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Clinton,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Clinton,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Clinton,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Clinton,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Clinton,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Clinton,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Clinton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Columbia,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Columbia,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Columbia,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Columbia,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Columbia,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Columbia,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Columbia,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Columbia,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Columbia,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Columbia,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Columbia,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Columbia,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Columbia,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Columbia,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Columbia,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Columbia,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,1,3.0,,,,,,,,,,,,
New York,Columbia,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Columbia,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Cortland,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Cortland,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Cortland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Cortland,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Cortland,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Cortland,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Cortland,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Cortland,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Cortland,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Cortland,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Cortland,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Delaware,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Delaware,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Delaware,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Delaware,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Delaware,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Delaware,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Delaware,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Delaware,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Delaware,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Delaware,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Delaware,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Delaware,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,1,3.0,,,,,,,,,,,,
New York,Delaware,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Delaware,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Dutchess,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Dutchess,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Dutchess,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Dutchess,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Dutchess,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Dutchess,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Dutchess,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Dutchess,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Dutchess,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Dutchess,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Dutchess,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Dutchess,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Dutchess,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Dutchess,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Dutchess,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Dutchess,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Dutchess,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Dutchess,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Dutchess,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Dutchess,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Dutchess,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Dutchess,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Dutchess,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,1,3.0,,,,,,,,,,,,
New York,Erie,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Erie,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Erie,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Erie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Erie,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Erie,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Erie,Independent Health,Independent Health's Assure Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$60.00 ,$0.00 ,No,H3362,040,0,5.0,,*,,,,,,,,,,
New York,Erie,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Erie,UnitedHealthcare,UHC Dual Complete NY-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3387,013,0,3.5,,,,,,,,,,,,
New York,Erie,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Erie,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Erie,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Erie,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Erie,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Erie,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Erie,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Erie,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Erie,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Erie,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Erie,Excellus Health Plan Community Care LLC,Univera Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$41.60 ,$545.00 ,No,H7524,001,0,Plan too new to be measured,,,,,,,,,,,,
New York,Erie,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Erie,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Essex,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Essex,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Essex,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Essex,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Essex,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Essex,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Essex,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Essex,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Franklin,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Franklin,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Franklin,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Franklin,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Franklin,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Franklin,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Fulton,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Fulton,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Fulton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Fulton,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Fulton,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Fulton,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Fulton,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Fulton,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Fulton,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Fulton,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Fulton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Genesee,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Genesee,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Genesee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Genesee,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Genesee,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Genesee,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Genesee,UnitedHealthcare,UHC Dual Complete NY-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3387,013,0,3.5,,,,,,,,,,,,
New York,Genesee,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Genesee,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Genesee,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Genesee,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Genesee,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Greene,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Greene,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Greene,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Greene,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Greene,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Greene,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Greene,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Greene,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Greene,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Greene,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Greene,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Greene,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Greene,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Greene,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,1,3.0,,,,,,,,,,,,
New York,Greene,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Greene,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Hamilton,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Hamilton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Hamilton,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Hamilton,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Hamilton,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Hamilton,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Hamilton,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Hamilton,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Hamilton,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Herkimer,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Herkimer,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Herkimer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Herkimer,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Herkimer,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Herkimer,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Herkimer,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Herkimer,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Herkimer,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Herkimer,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Herkimer,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Jefferson,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Jefferson,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Jefferson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Jefferson,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Jefferson,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Jefferson,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Jefferson,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Kings,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Kings,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Kings,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,2,4.0,,,,,,,,,,,,
New York,Kings,MetroPlus Health Plan,MetroPlus Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H0423,001,0,3.5,,,,,,,,,,,,
New York,Kings,MetroPlus Health Plan,MetroPlus UltraCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H0423,007,0,3.5,,,,,,,,,,,,
New York,Kings,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Kings,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Kings,VillageCareMAX,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,001,0,3.5,,,,,,,,,,,,
New York,Kings,VillageCareMAX,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,002,0,3.5,,,,,,,,,,,,
New York,Kings,VillageCareMAX,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,003,0,3.5,,,,,,,,,,,,
New York,Kings,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Kings,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Kings,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Kings,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Kings,Elderplan,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.90 ,$545.00 ,No,H3347,002,0,3.5,,,,,,,,,,,,
New York,Kings,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Kings,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Kings,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Kings,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Kings,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Kings,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Kings,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Kings,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Kings,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,2,3.5,,,,,,,,,,,,
New York,Kings,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,2,3.5,,,,,,,,,,,,
New York,Kings,Humana,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3533,034,1,3.0,,,,,,,,,,,,
New York,Kings,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4868,014,0,3.0,,,,,,,,,,,,
New York,Kings,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Kings,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Kings,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Kings,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Kings,EmblemHealth,EmblemHealth VIP Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$24.80 ,$545.00 ,No,H5991,010,0,3.0,,,,,,,,,,,,
New York,Kings,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,1,3.0,,,,,,,,,,,,
New York,Kings,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Kings,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,2,Not enough data available,,,,,,,,,,,,
New York,Kings,RiverSpring Health Plans,RiverSpring Star (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6776,001,0,Not enough data available,,,,,,,,,,,,
New York,Kings,RiverSpring Health Plans,RiverSpring MAP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6776,002,0,Not enough data available,,,,,,,,,,,,
New York,Kings,Centers Plan for Healthy Living,Centers Plan for Dual Coverage Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H6988,002,0,4.0,,,,,,,,,,,,
New York,Kings,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Kings,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Kings,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,Kings,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Kings,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,Lewis,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Lewis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Lewis,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Lewis,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Lewis,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Lewis,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Lewis,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Lewis,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Lewis,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Livingston,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Livingston,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Livingston,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Livingston,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Livingston,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Livingston,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Livingston,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Livingston,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Livingston,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Livingston,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Livingston,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Madison,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Madison,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Madison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Madison,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Madison,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Madison,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Madison,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Madison,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Madison,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Madison,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Madison,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Madison,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Monroe,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Monroe,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Monroe,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Monroe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Monroe,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Monroe,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Monroe,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Monroe,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Monroe,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Monroe,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Monroe,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Monroe,UnitedHealthcare,UHC Dual Complete NY-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3387,013,0,3.5,,,,,,,,,,,,
New York,Monroe,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Monroe,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Monroe,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Monroe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Monroe,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Monroe,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Monroe,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Monroe,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Monroe,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Montgomery,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Montgomery,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Montgomery,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Montgomery,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Montgomery,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Montgomery,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Montgomery,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Montgomery,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Montgomery,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Montgomery,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Montgomery,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Nassau,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Nassau,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Nassau,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,2,4.0,,,,,,,,,,,,
New York,Nassau,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Nassau,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Nassau,VillageCareMAX,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,001,0,3.5,,,,,,,,,,,,
New York,Nassau,VillageCareMAX,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,002,0,3.5,,,,,,,,,,,,
New York,Nassau,VillageCareMAX,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,003,0,3.5,,,,,,,,,,,,
New York,Nassau,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Nassau,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Nassau,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Nassau,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Nassau,Elderplan,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.90 ,$545.00 ,No,H3347,002,0,3.5,,,,,,,,,,,,
New York,Nassau,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Nassau,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Nassau,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Nassau,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Nassau,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Nassau,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Nassau,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Nassau,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Nassau,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,2,3.5,,,,,,,,,,,,
New York,Nassau,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,2,3.5,,,,,,,,,,,,
New York,Nassau,Humana,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3533,034,2,3.0,,,,,,,,,,,,
New York,Nassau,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4868,014,0,3.0,,,,,,,,,,,,
New York,Nassau,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Nassau,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Nassau,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Nassau,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Nassau,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Nassau,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Nassau,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,Nassau,RiverSpring Health Plans,RiverSpring Star (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6776,001,0,Not enough data available,,,,,,,,,,,,
New York,Nassau,RiverSpring Health Plans,RiverSpring MAP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6776,002,0,Not enough data available,,,,,,,,,,,,
New York,Nassau,Centers Plan for Healthy Living,Centers Plan for Dual Coverage Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H6988,002,0,4.0,,,,,,,,,,,,
New York,Nassau,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Nassau,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Nassau,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,Nassau,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Nassau,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,New York,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,New York,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,New York,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,2,4.0,,,,,,,,,,,,
New York,New York,MetroPlus Health Plan,MetroPlus Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H0423,001,0,3.5,,,,,,,,,,,,
New York,New York,MetroPlus Health Plan,MetroPlus UltraCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H0423,007,0,3.5,,,,,,,,,,,,
New York,New York,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,New York,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,New York,VillageCareMAX,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,001,0,3.5,,,,,,,,,,,,
New York,New York,VillageCareMAX,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,002,0,3.5,,,,,,,,,,,,
New York,New York,VillageCareMAX,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,003,0,3.5,,,,,,,,,,,,
New York,New York,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,New York,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,New York,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,New York,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,New York,Elderplan,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.90 ,$545.00 ,No,H3347,002,0,3.5,,,,,,,,,,,,
New York,New York,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,New York,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,New York,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,New York,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,New York,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,New York,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,New York,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,New York,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,New York,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,2,3.5,,,,,,,,,,,,
New York,New York,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,2,3.5,,,,,,,,,,,,
New York,New York,Humana,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3533,034,1,3.0,,,,,,,,,,,,
New York,New York,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4868,014,0,3.0,,,,,,,,,,,,
New York,New York,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,New York,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,New York,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,New York,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,New York,EmblemHealth,EmblemHealth VIP Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$24.80 ,$545.00 ,No,H5991,010,0,3.0,,,,,,,,,,,,
New York,New York,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,1,3.0,,,,,,,,,,,,
New York,New York,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,New York,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,New York,RiverSpring Health Plans,RiverSpring Star (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6776,001,0,Not enough data available,,,,,,,,,,,,
New York,New York,RiverSpring Health Plans,RiverSpring MAP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6776,002,0,Not enough data available,,,,,,,,,,,,
New York,New York,Centers Plan for Healthy Living,Centers Plan for Dual Coverage Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H6988,002,0,4.0,,,,,,,,,,,,
New York,New York,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,New York,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,New York,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,New York,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,New York,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,Niagara,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Niagara,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Niagara,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Niagara,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Niagara,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Niagara,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Niagara,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Niagara,UnitedHealthcare,UHC Dual Complete NY-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3387,013,0,3.5,,,,,,,,,,,,
New York,Niagara,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Niagara,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Niagara,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Niagara,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Niagara,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Niagara,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Niagara,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Niagara,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Niagara,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Niagara,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Niagara,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Niagara,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Oneida,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Oneida,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Oneida,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Oneida,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Oneida,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Oneida,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Oneida,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Oneida,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Oneida,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Oneida,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Oneida,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Oneida,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Oneida,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Oneida,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Oneida,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Oneida,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Oneida,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Onondaga,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Onondaga,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Onondaga,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Onondaga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Onondaga,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Onondaga,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Onondaga,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Onondaga,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Onondaga,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Onondaga,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Onondaga,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Onondaga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Onondaga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Onondaga,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Onondaga,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Onondaga,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Onondaga,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Ontario,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Ontario,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Ontario,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Ontario,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Ontario,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Ontario,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Ontario,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Ontario,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Ontario,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Ontario,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Orange,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Orange,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Orange,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Orange,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Orange,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Orange,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Orange,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Orange,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Orange,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Orange,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Orange,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Orange,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Orange,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Orange,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Orange,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Orange,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Orange,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Orange,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Orange,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Orange,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Orange,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Orange,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Orange,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Orange,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Orange,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Orange,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Orange,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Orange,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,Orange,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,Orange,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Orleans,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Orleans,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Orleans,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Orleans,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Orleans,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Orleans,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Orleans,UnitedHealthcare,UHC Dual Complete NY-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3387,013,0,3.5,,,,,,,,,,,,
New York,Orleans,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Orleans,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Orleans,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Orleans,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Orleans,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Orleans,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Orleans,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Orleans,Excellus Health Plan Community Care LLC,Univera Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$41.60 ,$545.00 ,No,H7524,001,0,Plan too new to be measured,,,,,,,,,,,,
New York,Oswego,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Oswego,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Oswego,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Oswego,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Oswego,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Oswego,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Oswego,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Oswego,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Oswego,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Oswego,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Otsego,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Otsego,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Otsego,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Otsego,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Otsego,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Otsego,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Otsego,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Otsego,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Otsego,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Otsego,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Otsego,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Otsego,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Otsego,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Otsego,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Putnam,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Putnam,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Putnam,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Putnam,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Putnam,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Putnam,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Putnam,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Putnam,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Putnam,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Putnam,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Putnam,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Putnam,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Putnam,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Putnam,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Putnam,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Putnam,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Putnam,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Putnam,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Putnam,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,1,3.0,,,,,,,,,,,,
New York,Queens,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Queens,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Queens,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,2,4.0,,,,,,,,,,,,
New York,Queens,MetroPlus Health Plan,MetroPlus Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H0423,001,0,3.5,,,,,,,,,,,,
New York,Queens,MetroPlus Health Plan,MetroPlus UltraCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H0423,007,0,3.5,,,,,,,,,,,,
New York,Queens,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Queens,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Queens,VillageCareMAX,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,001,0,3.5,,,,,,,,,,,,
New York,Queens,VillageCareMAX,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,002,0,3.5,,,,,,,,,,,,
New York,Queens,VillageCareMAX,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,003,0,3.5,,,,,,,,,,,,
New York,Queens,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Queens,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Queens,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Queens,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Queens,Elderplan,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.90 ,$545.00 ,No,H3347,002,0,3.5,,,,,,,,,,,,
New York,Queens,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Queens,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Queens,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Queens,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Queens,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Queens,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Queens,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Queens,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Queens,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,2,3.5,,,,,,,,,,,,
New York,Queens,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,2,3.5,,,,,,,,,,,,
New York,Queens,Humana,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3533,034,1,3.0,,,,,,,,,,,,
New York,Queens,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4868,014,0,3.0,,,,,,,,,,,,
New York,Queens,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Queens,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Queens,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Queens,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Queens,EmblemHealth,EmblemHealth VIP Dual Reserve (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$24.80 ,$545.00 ,No,H5991,010,0,3.0,,,,,,,,,,,,
New York,Queens,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,1,3.0,,,,,,,,,,,,
New York,Queens,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Queens,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,Queens,RiverSpring Health Plans,RiverSpring Star (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6776,001,0,Not enough data available,,,,,,,,,,,,
New York,Queens,RiverSpring Health Plans,RiverSpring MAP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6776,002,0,Not enough data available,,,,,,,,,,,,
New York,Queens,Centers Plan for Healthy Living,Centers Plan for Dual Coverage Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H6988,002,0,4.0,,,,,,,,,,,,
New York,Queens,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Queens,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Queens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,Queens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Queens,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,Rensselaer,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Rensselaer,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Rensselaer,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Rensselaer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Rensselaer,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Rensselaer,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Rensselaer,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Rensselaer,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Rensselaer,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Rensselaer,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Rensselaer,CDPHP Medicare Advantage,CDPHP Care Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3388,018,0,4.5,,,,,,,,,,,,*
New York,Rensselaer,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Rensselaer,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Rensselaer,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Rensselaer,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Rensselaer,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Rensselaer,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Rensselaer,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Rensselaer,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Rensselaer,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Rensselaer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Rensselaer,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Rensselaer,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Richmond,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Richmond,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Richmond,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,2,4.0,,,,,,,,,,,,
New York,Richmond,MetroPlus Health Plan,MetroPlus Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H0423,001,0,3.5,,,,,,,,,,,,
New York,Richmond,MetroPlus Health Plan,MetroPlus UltraCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H0423,007,0,3.5,,,,,,,,,,,,
New York,Richmond,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Richmond,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Richmond,VillageCareMAX,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,001,0,3.5,,,,,,,,,,,,
New York,Richmond,VillageCareMAX,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,002,0,3.5,,,,,,,,,,,,
New York,Richmond,VillageCareMAX,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,003,0,3.5,,,,,,,,,,,,
New York,Richmond,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Richmond,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Richmond,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Richmond,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Richmond,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Richmond,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Richmond,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Richmond,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Richmond,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Richmond,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Richmond,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Richmond,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Richmond,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,2,3.5,,,,,,,,,,,,
New York,Richmond,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,2,3.5,,,,,,,,,,,,
New York,Richmond,Humana,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3533,034,2,3.0,,,,,,,,,,,,
New York,Richmond,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4868,014,0,3.0,,,,,,,,,,,,
New York,Richmond,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Richmond,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Richmond,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Richmond,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Richmond,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Richmond,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Richmond,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,Richmond,RiverSpring Health Plans,RiverSpring Star (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6776,001,0,Not enough data available,,,,,,,,,,,,
New York,Richmond,RiverSpring Health Plans,RiverSpring MAP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6776,002,0,Not enough data available,,,,,,,,,,,,
New York,Richmond,Centers Plan for Healthy Living,Centers Plan for Dual Coverage Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H6988,002,0,4.0,,,,,,,,,,,,
New York,Richmond,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Richmond,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Richmond,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,Richmond,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Richmond,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,Rockland,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Rockland,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Rockland,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Rockland,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Rockland,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Rockland,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Rockland,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Rockland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Rockland,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Rockland,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Rockland,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Rockland,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Rockland,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Rockland,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Rockland,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Rockland,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Rockland,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Rockland,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Rockland,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Rockland,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Rockland,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Rockland,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Rockland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Rockland,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Rockland,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Rockland,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Rockland,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Rockland,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Rockland,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Rockland,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,Rockland,Centers Plan for Healthy Living,Centers Plan for Dual Coverage Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H6988,002,0,4.0,,,,,,,,,,,,
New York,Rockland,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Rockland,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Rockland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Saratoga,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Saratoga,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Saratoga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Saratoga,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Saratoga,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Saratoga,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Saratoga,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Saratoga,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Saratoga,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Saratoga,CDPHP Medicare Advantage,CDPHP Care Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3388,018,0,4.5,,,,,,,,,,,,*
New York,Saratoga,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Saratoga,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Saratoga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Saratoga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Saratoga,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Saratoga,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Saratoga,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Saratoga,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Saratoga,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Schenectady,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Schenectady,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Schenectady,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Schenectady,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Schenectady,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Schenectady,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Schenectady,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Schenectady,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Schenectady,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Schenectady,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Schenectady,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Schenectady,CDPHP Medicare Advantage,CDPHP Care Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3388,018,0,4.5,,,,,,,,,,,,*
New York,Schenectady,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Schenectady,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Schenectady,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Schenectady,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Schenectady,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Schenectady,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Schenectady,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Schenectady,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Schenectady,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Schenectady,Nascentia Health Plus,Nascentia Skilled Nursing Facility (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H9066,002,0,Not enough data available,,,,,,,,,,,,
New York,Schenectady,Nascentia Health Plus,Nascentia Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H9066,003,0,Not enough data available,,,,,,,,,,,,
New York,Schoharie,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Schoharie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Schoharie,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Schoharie,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Schoharie,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Schoharie,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Schoharie,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Schoharie,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Schoharie,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Schoharie,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Schuyler,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Schuyler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Schuyler,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Schuyler,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Schuyler,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Schuyler,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Schuyler,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Schuyler,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Schuyler,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Seneca,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Seneca,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Seneca,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Seneca,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Seneca,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Seneca,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Seneca,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Seneca,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Seneca,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Seneca,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Seneca,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Seneca,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Seneca,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,St. Lawrence,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,St. Lawrence,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,St. Lawrence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,St. Lawrence,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,St. Lawrence,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,St. Lawrence,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,St. Lawrence,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,St. Lawrence,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,St. Lawrence,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,St. Lawrence,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Steuben,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Steuben,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Steuben,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Steuben,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Steuben,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Steuben,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Steuben,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Steuben,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Steuben,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Steuben,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Steuben,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Steuben,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Suffolk,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,2,4.0,,,,,,,,,,,,
New York,Suffolk,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Suffolk,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Suffolk,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Suffolk,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Suffolk,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Suffolk,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Suffolk,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Suffolk,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Suffolk,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Suffolk,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Suffolk,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,2,3.5,,,,,,,,,,,,
New York,Suffolk,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,2,3.5,,,,,,,,,,,,
New York,Suffolk,Humana,Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3533,034,2,3.0,,,,,,,,,,,,
New York,Suffolk,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Suffolk,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Suffolk,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Suffolk,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Suffolk,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Suffolk,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Suffolk,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Suffolk,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Suffolk,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,034,0,3.0,,,,,,,,,,,,
New York,Suffolk,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,Sullivan,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Sullivan,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Sullivan,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Sullivan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Sullivan,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Sullivan,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Sullivan,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Sullivan,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Sullivan,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Sullivan,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Sullivan,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Sullivan,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Sullivan,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Sullivan,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Sullivan,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Sullivan,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Sullivan,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Sullivan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Tioga,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Tioga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Tioga,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Tioga,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Tioga,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Tioga,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Tioga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Tioga,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Tioga,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Tompkins,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Tompkins,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Ulster,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Ulster,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Ulster,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Ulster,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Ulster,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Ulster,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Ulster,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Ulster,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Ulster,UnitedHealthcare,UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.60 ,$545.00 ,No,H3379,022,0,4.0,,,,,,,,,,,,
New York,Ulster,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Ulster,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Ulster,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Ulster,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Ulster,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Ulster,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Ulster,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Ulster,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Ulster,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Warren,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Warren,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Warren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Warren,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Warren,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Warren,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Warren,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Warren,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Warren,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Warren,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Warren,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Warren,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Washington,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Washington,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Washington,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Washington,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Washington,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Washington,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Washington,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Washington,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Washington,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Washington,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Washington,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,039,2,3.0,,,,,,,,,,,,
New York,Wayne,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Wayne,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Wayne,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Wayne,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Wayne,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Wayne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Wayne,Aetna Medicare,Aetna Medicare Longevity Plan (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$38.30 ,$545.00 ,No,H5521,461,0,4.0,,,,,,,,,,,,
New York,Wayne,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
New York,Westchester,"Hamaspik, Inc.",Hamaspik Medicare Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.00 ,$545.00 ,No,H0034,001,0,Not enough data available,,,,,,,,,,,,
New York,Westchester,"Hamaspik, Inc.",Hamaspik Medicare Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$42.00 ,$545.00 ,No,H0034,002,0,Not enough data available,,,,,,,,,,,,
New York,Westchester,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Westchester,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H1732,001,0,2.5,,,,,,,,,,,,
New York,Westchester,ANTHEM BLUE CROSS AND BLUE SHIELD HP,Anthem HealthPlus Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H1732,003,0,2.5,,,,,,,,,,,,
New York,Westchester,VillageCareMAX,VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,001,0,3.5,,,,,,,,,,,,
New York,Westchester,VillageCareMAX,VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,002,0,3.5,,,,,,,,,,,,
New York,Westchester,VillageCareMAX,VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$48.70 ,$545.00 ,No,H2168,003,0,3.5,,,,,,,,,,,,
New York,Westchester,UnitedHealthcare,UHC Nursing Home Plan NY-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$26.10 ,$545.00 ,No,H2292,002,0,5.0,,,,,,,,,,,,
New York,Westchester,UnitedHealthcare,UHC Care Advantage NY-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.00 ,$0.00 ,No,H2292,003,0,5.0,,,,,,,,,,,,
New York,Westchester,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Westchester,MVP HEALTH CARE,MVP DualAccess (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H3305,033,0,4.5,,,,,,,,,,,,
New York,Westchester,MVP HEALTH CARE,MVP DualAccess Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$36.30 ,$545.00 ,No,H3305,034,0,4.5,,,,,,,,,,,,
New York,Westchester,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H3312,069,0,3.5,,,,,,,,,,,,
New York,Westchester,Elderplan,Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.90 ,$545.00 ,No,H3347,002,0,3.5,,,,,,,,,,,,
New York,Westchester,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Westchester,Elderplan,Elderplan Plus Long Term Care (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3347,007,0,3.5,,,,,,,,,,,,
New York,Westchester,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Westchester,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Westchester,Healthfirst Medicare Plan,Healthfirst Life Improvement Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$43.30 ,$545.00 ,No,H3359,021,0,4.0,,,,,,,,,,,,
New York,Westchester,Healthfirst Medicare Plan,Healthfirst CompleteCare (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Enhanced,EA,$45.00 ,$545.00 ,No,H3359,034,0,4.0,,,,,,,,,,,,
New York,Westchester,Healthfirst Medicare Plan,Healthfirst Connection Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$48.60 ,$545.00 ,No,H3359,038,0,4.0,,,,,,,,,,,,
New York,Westchester,UnitedHealthcare,UHC Nursing Home Plan NY-F003 (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$22.20 ,$545.00 ,No,H3379,002,0,4.0,,,,,,,,,,,,
New York,Westchester,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Westchester,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Westchester,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Westchester,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.60 ,$545.00 ,No,H4868,004,0,3.0,,,,,,,,,,,,
New York,Westchester,VNS Health Medicare,VNS Health Total (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5549,003,0,3.5,,,,,,,,,,,,
New York,Westchester,VNS Health Medicare,VNS Health EasyCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H5549,011,0,3.5,,,,,,,,,,,,
New York,Westchester,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Westchester,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,003,0,3.0,,,,,,,,,,,,
New York,Westchester,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Westchester,EmblemHealth,EmblemHealth VIP Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$24.70 ,$545.00 ,No,H5991,012,2,3.0,,,,,,,,,,,,
New York,Westchester,Senior Whole Health of New York,Senior Whole Health of New York NHC (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$25.10 ,$545.00 ,No,H5992,007,0,Not enough data available,,,,,,,,,,,,
New York,Westchester,Senior Whole Health of New York,Senior Whole Health Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$26.40 ,$545.00 ,No,H5992,009,1,Not enough data available,,,,,,,,,,,,
New York,Westchester,RiverSpring Health Plans,RiverSpring Star (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6776,001,0,Not enough data available,,,,,,,,,,,,
New York,Westchester,RiverSpring Health Plans,RiverSpring MAP (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6776,002,0,Not enough data available,,,,,,,,,,,,
New York,Westchester,Centers Plan for Healthy Living,Centers Plan for Nursing Home Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$48.70 ,$545.00 ,No,H6988,003,0,4.0,,,,,,,,,,,,
New York,Westchester,Centers Plan for Healthy Living,Centers Plan for Medicaid Advantage Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H6988,004,0,4.0,,,,,,,,,,,,
New York,Westchester,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,007,0,3.0,,,,,,,,,,,,
New York,Westchester,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H8432,028,0,3.0,,,,,,,,,,,,
New York,Westchester,Longevity Health Plan,Longevity Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$26.90 ,$545.00 ,No,H8457,001,0,Not enough data available,,,,,,,,,,,,
New York,Wyoming,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Wyoming,UnitedHealthcare,UHC Nursing Home Plan NY-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$23.70 ,$545.00 ,No,H2292,001,0,5.0,,,,,,,,,,,,
New York,Wyoming,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Wyoming,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Wyoming,Independent Health,Independent Health's Medicare Family Choice (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.70 ,$0.00 ,No,H3362,020,0,5.0,,,,,,,,,,,,
New York,Wyoming,UnitedHealthcare,UHC Dual Complete NY-Y001 (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H3387,013,0,3.5,,,,,,,,,,,,
New York,Wyoming,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Wyoming,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Wyoming,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Wyoming,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Wyoming,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Wyoming,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Yates,UnitedHealthcare,UHC Dual Complete NY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H0271,060,1,4.0,,,,,,,,,,,,
New York,Yates,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$48.70 ,$545.00 ,No,H2775,112,0,3.0,,,,,,,,,,,,
New York,Yates,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.60 ,$545.00 ,No,H3312,070,0,3.5,,,,,,,,,,,,
New York,Yates,Elderplan,Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$48.00 ,$545.00 ,No,H3347,003,0,3.5,,,,,,,,,,,,
New York,Yates,Elderplan,Elderplan Assist (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$34.50 ,$545.00 ,No,H3347,015,0,3.5,,,,,,,,,,,,
New York,Yates,Elderplan,Elderplan Select (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3347,018,0,3.5,,,,,,,,,,,,
New York,Yates,UnitedHealthcare,UHC Dual Complete NY-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.70 ,$545.00 ,No,H3387,014,1,3.5,,,,,,,,,,,,
New York,Yates,UnitedHealthcare,UHC Dual Complete NY-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.50 ,$545.00 ,No,H3387,015,1,3.5,,,,,,,,,,,,
New York,Yates,Humana,Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.40 ,$545.00 ,No,H3533,002,0,3.0,,,,,,,,,,,,
New York,Yates,Wellcare by Fidelis Care,Wellcare Fidelis Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$44.20 ,$545.00 ,No,H5599,001,0,3.0,,,,,,,,,,,,
New York,Yates,Wellcare by Fidelis Care,Wellcare Fidelis Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.70 ,$545.00 ,No,H5599,008,0,3.0,,,,,,,,,,,,
New York,Yates,Humana,HumanaChoice SNP-DE H5970-020 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$41.30 ,$545.00 ,No,H5970,020,0,3.5,,,,,,,,,,,,
New York,Yates,Excellus Health Plan Community Care LLC,Medicare Blue Dual (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Enhanced,EA,$42.70 ,$545.00 ,No,H7524,003,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Alamance,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Alamance,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Alamance,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Alamance,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Alamance,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Alamance,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Alamance,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Alamance,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Alamance,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$95.00 ,Yes,H2624,001,0,4.5,,,,,,,,,,,*,
North Carolina,Alamance,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Alamance,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Alamance,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Alamance,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Alamance,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Alamance,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Alamance,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Alamance,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Alamance,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Alamance,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Alamance,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Alamance,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Alamance,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Alamance,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Alamance,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Alamance,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Alamance,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Alamance,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Alamance,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Alexander,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Alexander,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Alexander,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Alexander,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Alexander,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Alexander,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Alexander,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Alexander,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Alexander,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Alexander,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Alexander,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Alexander,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Alexander,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Alexander,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Alexander,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Alexander,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Alexander,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Alexander,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Alexander,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Alexander,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Alexander,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Alleghany,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Alleghany,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Alleghany,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Alleghany,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Alleghany,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Alleghany,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Alleghany,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Alleghany,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Alleghany,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Alleghany,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Alleghany,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Alleghany,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Alleghany,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Alleghany,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Alleghany,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Anson,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Anson,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Anson,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Anson,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Anson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Anson,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Anson,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Anson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Anson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Anson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Anson,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Anson,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Anson,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Anson,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Anson,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Anson,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Anson,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Anson,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Anson,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Anson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Anson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Ashe,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Ashe,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Ashe,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Ashe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Ashe,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Ashe,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Ashe,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Ashe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Ashe,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Ashe,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Ashe,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Ashe,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Ashe,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Avery,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Avery,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Avery,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Avery,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Avery,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Avery,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Avery,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Avery,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Avery,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Avery,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Avery,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Avery,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Avery,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Avery,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Avery,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Avery,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Avery,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Beaufort,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Beaufort,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Beaufort,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Beaufort,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Beaufort,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Beaufort,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Beaufort,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Beaufort,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Beaufort,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Beaufort,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Bertie,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Bertie,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Bertie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Bertie,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Bertie,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Bertie,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Bertie,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Bertie,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Bertie,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Bertie,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Bertie,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Bertie,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Bertie,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Bertie,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Bertie,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Bladen,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Bladen,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Bladen,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Bladen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Bladen,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Bladen,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Bladen,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Bladen,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Bladen,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Bladen,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Bladen,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Bladen,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Bladen,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Bladen,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Bladen,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Bladen,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Bladen,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Bladen,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Bladen,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Brunswick,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Brunswick,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Brunswick,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Brunswick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Brunswick,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Brunswick,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Brunswick,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Brunswick,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Brunswick,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Brunswick,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Brunswick,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Brunswick,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Brunswick,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Brunswick,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Buncombe,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Buncombe,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Buncombe,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Buncombe,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Buncombe,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Buncombe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Buncombe,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Buncombe,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Buncombe,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Buncombe,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Buncombe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Buncombe,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Buncombe,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Buncombe,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Buncombe,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Buncombe,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Buncombe,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Buncombe,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Buncombe,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Buncombe,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Buncombe,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Buncombe,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Buncombe,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Buncombe,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Buncombe,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Buncombe,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Buncombe,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Buncombe,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Buncombe,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Burke,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Burke,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Burke,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Burke,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Burke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Burke,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Burke,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Burke,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Burke,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Burke,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Burke,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Burke,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Burke,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Burke,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Burke,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Burke,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Burke,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Burke,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Burke,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Burke,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Burke,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Burke,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Burke,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Cabarrus,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Cabarrus,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Cabarrus,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Cabarrus,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Cabarrus,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Cabarrus,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Cabarrus,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Cabarrus,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Cabarrus,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Cabarrus,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Cabarrus,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Cabarrus,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Cabarrus,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Cabarrus,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Cabarrus,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Cabarrus,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Cabarrus,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Cabarrus,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Cabarrus,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Cabarrus,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Cabarrus,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Cabarrus,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Cabarrus,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Cabarrus,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Cabarrus,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Cabarrus,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Cabarrus,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Caldwell,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Caldwell,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Caldwell,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Caldwell,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Caldwell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Caldwell,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Caldwell,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Caldwell,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Caldwell,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Caldwell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Caldwell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Caldwell,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Caldwell,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Caldwell,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Caldwell,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Caldwell,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Caldwell,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Caldwell,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Caldwell,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Caldwell,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Caldwell,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Caldwell,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Caldwell,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Camden,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Camden,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Camden,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Camden,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Camden,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Camden,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Camden,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Camden,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Camden,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Camden,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Carteret,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Carteret,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Carteret,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Caswell,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Caswell,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Caswell,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Caswell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Caswell,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Caswell,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Caswell,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Caswell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Caswell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Caswell,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Caswell,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Caswell,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Caswell,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Caswell,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Caswell,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Caswell,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Caswell,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Catawba,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Catawba,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Catawba,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Catawba,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Catawba,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Catawba,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Catawba,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Catawba,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Catawba,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Catawba,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Catawba,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Catawba,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Catawba,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Catawba,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Catawba,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Catawba,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Catawba,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Catawba,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Catawba,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Catawba,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Catawba,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Catawba,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Catawba,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Catawba,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Catawba,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Catawba,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Chatham,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Chatham,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Chatham,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Chatham,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Chatham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Chatham,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Chatham,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Chatham,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Chatham,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Chatham,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Chatham,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Chatham,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Chatham,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Chatham,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Chatham,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Chatham,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Chatham,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Chatham,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Chatham,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Chatham,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Chatham,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Chatham,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Chatham,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Chatham,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Chatham,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Chatham,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Cherokee,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Cherokee,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Cherokee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Cherokee,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Cherokee,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Cherokee,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Cherokee,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Cherokee,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Cherokee,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Cherokee,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Cherokee,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Cherokee,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Cherokee,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Chowan,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Chowan,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Chowan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Chowan,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Chowan,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Chowan,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Chowan,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Chowan,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Chowan,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Chowan,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Chowan,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Chowan,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Clay,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Clay,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Clay,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Clay,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Clay,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Clay,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Clay,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Clay,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Clay,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Clay,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Clay,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Clay,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Clay,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Cleveland,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Cleveland,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Cleveland,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Cleveland,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Cleveland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Cleveland,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Cleveland,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Cleveland,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Cleveland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Cleveland,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Cleveland,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Cleveland,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Cleveland,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Cleveland,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Cleveland,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Cleveland,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Cleveland,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Cleveland,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Cleveland,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Columbus,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Columbus,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Columbus,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Columbus,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Columbus,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Columbus,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Columbus,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Columbus,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Columbus,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Columbus,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Columbus,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Columbus,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Columbus,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Columbus,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Columbus,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Columbus,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Columbus,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Columbus,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Columbus,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Columbus,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Craven,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Craven,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Craven,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Craven,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Cumberland,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Cumberland,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Cumberland,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Cumberland,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Cumberland,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Cumberland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Cumberland,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Cumberland,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Cumberland,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Cumberland,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Cumberland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Cumberland,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Cumberland,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Cumberland,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Cumberland,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Cumberland,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Cumberland,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Cumberland,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Cumberland,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Cumberland,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Cumberland,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Cumberland,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Cumberland,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Currituck,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Currituck,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Currituck,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Currituck,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Currituck,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Currituck,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Currituck,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Currituck,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Currituck,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Currituck,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Dare,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Dare,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Dare,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Dare,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Dare,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Dare,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Dare,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Davidson,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Davidson,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Davidson,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Davidson,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Davidson,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Davidson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Davidson,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Davidson,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Davidson,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$95.00 ,Yes,H2624,001,0,4.5,,,,,,,,,,,*,
North Carolina,Davidson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Davidson,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Davidson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Davidson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Davidson,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Davidson,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Davidson,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Davidson,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Davidson,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Davidson,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Davidson,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Davidson,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Davidson,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Davidson,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Davidson,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Davidson,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Davidson,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Davidson,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Davidson,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Davidson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Davidson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Davie,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Davie,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Davie,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Davie,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Davie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Davie,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Davie,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Davie,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$95.00 ,Yes,H2624,001,0,4.5,,,,,,,,,,,*,
North Carolina,Davie,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Davie,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Davie,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Davie,Provider Partners Health Plans,Provider Partners North Carolina Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H4439,001,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Davie,Provider Partners Health Plans,Provider Partners North Carolina Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4439,002,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Davie,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Davie,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Davie,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Davie,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Davie,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Davie,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Davie,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Davie,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Davie,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Davie,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Davie,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Davie,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Davie,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Davie,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Davie,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Duplin,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Duplin,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Duplin,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Duplin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Duplin,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Duplin,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Duplin,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Duplin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Duplin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Duplin,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Duplin,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Duplin,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Duplin,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Durham,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Durham,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Durham,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Durham,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Durham,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Durham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Durham,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Durham,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Durham,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Durham,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Durham,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Durham,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Durham,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Durham,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Durham,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Durham,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Durham,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Durham,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Durham,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Durham,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Durham,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Durham,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Durham,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Durham,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Durham,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Durham,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Durham,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Edgecombe,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Edgecombe,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Edgecombe,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Edgecombe,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Edgecombe,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Edgecombe,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Edgecombe,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Edgecombe,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Edgecombe,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Edgecombe,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Edgecombe,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Edgecombe,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Forsyth,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Forsyth,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Forsyth,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Forsyth,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Forsyth,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Forsyth,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Forsyth,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Forsyth,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Forsyth,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$95.00 ,Yes,H2624,001,0,4.5,,,,,,,,,,,*,
North Carolina,Forsyth,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Forsyth,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Forsyth,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Forsyth,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Forsyth,Provider Partners Health Plans,Provider Partners North Carolina Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H4439,001,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Forsyth,Provider Partners Health Plans,Provider Partners North Carolina Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4439,002,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Forsyth,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Forsyth,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Forsyth,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Forsyth,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Forsyth,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Forsyth,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Forsyth,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Forsyth,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Forsyth,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Forsyth,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Forsyth,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Forsyth,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Forsyth,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Forsyth,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Forsyth,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Forsyth,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Forsyth,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Forsyth,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Franklin,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Franklin,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Franklin,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Franklin,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Franklin,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Franklin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Franklin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Franklin,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Franklin,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Franklin,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Franklin,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Franklin,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Franklin,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Franklin,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Franklin,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Gaston,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Gaston,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Gaston,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Gaston,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Gaston,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Gaston,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Gaston,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Gaston,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Gaston,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Gaston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Gaston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Gaston,Provider Partners Health Plans,Provider Partners North Carolina Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H4439,001,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Gaston,Provider Partners Health Plans,Provider Partners North Carolina Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4439,002,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Gaston,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Gaston,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Gaston,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Gaston,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Gaston,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Gaston,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Gaston,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Gaston,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Gaston,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Gaston,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Gaston,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Gaston,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Gates,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Gates,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Gates,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Gates,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Gates,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Gates,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Gates,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Gates,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Gates,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Gates,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Graham,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Graham,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Graham,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Graham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Graham,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Graham,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Graham,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Graham,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Graham,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Graham,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Graham,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Graham,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Graham,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Graham,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Granville,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Granville,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Granville,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Granville,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Granville,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Granville,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Granville,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Granville,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Granville,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Granville,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Granville,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Granville,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Granville,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Granville,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Granville,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Granville,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Granville,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Greene,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Greene,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Greene,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Greene,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Greene,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Greene,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Greene,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Greene,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Greene,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Greene,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Greene,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Greene,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Greene,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Greene,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Greene,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Greene,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Greene,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Guilford,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Guilford,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Guilford,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Guilford,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Guilford,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Guilford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Guilford,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Guilford,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Guilford,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$95.00 ,Yes,H2624,001,0,4.5,,,,,,,,,,,*,
North Carolina,Guilford,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Guilford,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Guilford,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Guilford,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Guilford,Provider Partners Health Plans,Provider Partners North Carolina Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H4439,001,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Guilford,Provider Partners Health Plans,Provider Partners North Carolina Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4439,002,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Guilford,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Guilford,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Guilford,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Guilford,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Guilford,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Guilford,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Guilford,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Guilford,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Guilford,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Guilford,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Guilford,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Guilford,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Guilford,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Guilford,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Guilford,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Guilford,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Guilford,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Halifax,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Halifax,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Halifax,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Halifax,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Halifax,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Halifax,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Halifax,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Halifax,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Halifax,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Halifax,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Halifax,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Halifax,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Halifax,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Harnett,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Harnett,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Harnett,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Harnett,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Harnett,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Harnett,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Harnett,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Harnett,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Harnett,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Harnett,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Harnett,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Harnett,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Harnett,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Harnett,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Harnett,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Harnett,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Harnett,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Harnett,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Haywood,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Haywood,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Haywood,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Haywood,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Haywood,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Haywood,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Haywood,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Haywood,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Haywood,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Haywood,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Haywood,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Haywood,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Haywood,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Haywood,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Haywood,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Haywood,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Haywood,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Haywood,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Haywood,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Haywood,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Haywood,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Haywood,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Haywood,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Henderson,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Henderson,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Henderson,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Henderson,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Henderson,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Henderson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Henderson,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Henderson,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Henderson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Henderson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Henderson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Henderson,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Henderson,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Henderson,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Henderson,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Henderson,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Henderson,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Henderson,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Henderson,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Henderson,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Henderson,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Henderson,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Henderson,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Henderson,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Henderson,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Henderson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Henderson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Hertford,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Hertford,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Hertford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Hertford,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Hertford,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Hertford,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Hertford,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Hertford,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Hertford,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Hertford,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Hoke,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Hoke,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Hoke,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Hoke,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Hoke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Hoke,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Hoke,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Hoke,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Hoke,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Hoke,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Hoke,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Hoke,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Hoke,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Hoke,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Hoke,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Hoke,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Hoke,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Hoke,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Hyde,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Hyde,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Hyde,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Hyde,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Hyde,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Hyde,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Hyde,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Hyde,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Hyde,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Hyde,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Hyde,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Hyde,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Hyde,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Iredell,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Iredell,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Iredell,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Iredell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Iredell,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Iredell,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Iredell,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Iredell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Iredell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Iredell,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Iredell,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Iredell,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Iredell,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Iredell,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Iredell,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Iredell,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Iredell,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Iredell,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Jackson,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Jackson,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Jackson,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Jackson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Jackson,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Jackson,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Jackson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Jackson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Jackson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Jackson,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Jackson,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Jackson,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Jackson,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Jackson,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Jackson,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Jackson,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Jackson,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Johnston,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Johnston,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Johnston,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Johnston,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Johnston,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Johnston,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Johnston,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Johnston,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Johnston,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Johnston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Johnston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Johnston,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Johnston,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Johnston,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Johnston,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Johnston,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Johnston,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Johnston,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Johnston,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Johnston,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Johnston,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Johnston,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Johnston,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Johnston,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Johnston,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Jones,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Jones,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Jones,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Jones,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Jones,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Jones,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Jones,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Jones,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Jones,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Jones,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Lee,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Lee,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Lee,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Lee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Lee,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Lee,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Lee,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Lee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Lee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Lee,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Lee,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Lee,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Lee,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Lee,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Lee,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Lee,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Lee,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Lee,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Lee,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Lenoir,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Lenoir,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Lenoir,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Lenoir,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Lenoir,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Lenoir,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Lenoir,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Lenoir,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Lenoir,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Lenoir,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Lenoir,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Lenoir,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Lenoir,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Lincoln,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Lincoln,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Lincoln,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Lincoln,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Lincoln,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Lincoln,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Lincoln,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Lincoln,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Lincoln,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Lincoln,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Lincoln,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Lincoln,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Lincoln,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Lincoln,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Lincoln,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Lincoln,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Lincoln,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Macon,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Macon,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Macon,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Macon,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Macon,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Macon,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Macon,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Macon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Macon,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Macon,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Macon,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Macon,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Macon,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Macon,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Macon,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Macon,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Madison,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Madison,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Madison,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Madison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Madison,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Madison,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Madison,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Madison,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Madison,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Madison,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Madison,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Madison,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Madison,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Madison,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Madison,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Madison,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Madison,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Madison,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Madison,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Madison,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Martin,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Martin,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Martin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Martin,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Martin,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Martin,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Martin,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Martin,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Martin,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Martin,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Martin,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Martin,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Martin,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Martin,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Martin,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,McDowell,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,McDowell,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,McDowell,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,McDowell,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,McDowell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,McDowell,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,McDowell,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,McDowell,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,McDowell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,McDowell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,McDowell,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,McDowell,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,McDowell,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,McDowell,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,McDowell,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,McDowell,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,McDowell,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,McDowell,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,McDowell,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,McDowell,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,McDowell,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,McDowell,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Mecklenburg,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Mecklenburg,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Mecklenburg,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Mecklenburg,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Mecklenburg,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Mecklenburg,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Mecklenburg,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
North Carolina,Mecklenburg,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
North Carolina,Mecklenburg,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Mecklenburg,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Mecklenburg,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Mecklenburg,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Mecklenburg,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Mecklenburg,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Mitchell,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Mitchell,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Mitchell,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Mitchell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Mitchell,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Mitchell,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Mitchell,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Mitchell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Mitchell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Mitchell,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Mitchell,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Mitchell,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Mitchell,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Mitchell,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Mitchell,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Mitchell,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Mitchell,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Mitchell,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Mitchell,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Mitchell,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Mitchell,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Montgomery,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Montgomery,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Montgomery,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Montgomery,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Montgomery,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Montgomery,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Montgomery,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Montgomery,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Montgomery,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Montgomery,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Montgomery,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Montgomery,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Montgomery,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Montgomery,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Montgomery,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Moore,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Moore,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Moore,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Moore,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Moore,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Moore,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Moore,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Moore,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Moore,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Moore,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Moore,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Moore,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Moore,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Moore,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Moore,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Moore,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Moore,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Moore,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Moore,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Nash,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Nash,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Nash,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Nash,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Nash,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Nash,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Nash,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Nash,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Nash,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Nash,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Nash,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Nash,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Nash,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Nash,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Nash,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,New Hanover,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,New Hanover,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,New Hanover,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,New Hanover,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,New Hanover,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,New Hanover,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,New Hanover,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,New Hanover,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,New Hanover,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,New Hanover,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,New Hanover,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Northampton,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Northampton,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Northampton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Northampton,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Northampton,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Northampton,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Northampton,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Northampton,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Northampton,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Northampton,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Onslow,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Onslow,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Onslow,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Orange,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Orange,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Orange,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Orange,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Orange,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Orange,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Orange,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Orange,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Orange,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Orange,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Orange,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Orange,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Orange,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Orange,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Orange,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Orange,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Orange,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Orange,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Orange,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Orange,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Orange,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Orange,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Orange,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Orange,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Orange,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Orange,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Orange,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Pamlico,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Pamlico,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Pamlico,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Pamlico,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Pamlico,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Pamlico,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Pamlico,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Pamlico,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Pamlico,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Pamlico,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Pasquotank,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Pasquotank,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Pasquotank,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Pasquotank,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Pasquotank,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Pasquotank,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Pasquotank,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Pasquotank,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Pasquotank,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Pasquotank,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Pender,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Pender,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Pender,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Pender,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Pender,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Pender,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Pender,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Pender,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Pender,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Pender,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Pender,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Pender,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Pender,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Perquimans,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Perquimans,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Perquimans,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Perquimans,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Perquimans,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Perquimans,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Perquimans,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Perquimans,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Perquimans,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Perquimans,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Perquimans,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Perquimans,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Person,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Person,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Person,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Person,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Person,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Person,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Person,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Person,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Person,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Person,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Person,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Person,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Person,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Person,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Person,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Person,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Person,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Person,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Person,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Pitt,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Pitt,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Pitt,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Pitt,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Pitt,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Pitt,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Pitt,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Pitt,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Pitt,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Pitt,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Pitt,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Pitt,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Pitt,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Pitt,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Pitt,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Pitt,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Polk,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Polk,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Polk,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Polk,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Polk,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Polk,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Polk,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Polk,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Polk,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Polk,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Polk,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Polk,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Polk,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Polk,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Polk,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Polk,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Polk,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Polk,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Polk,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Polk,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Polk,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Polk,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Randolph,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Randolph,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Randolph,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Randolph,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Randolph,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Randolph,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Randolph,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Randolph,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Randolph,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$95.00 ,Yes,H2624,001,0,4.5,,,,,,,,,,,*,
North Carolina,Randolph,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Randolph,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Randolph,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Randolph,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Randolph,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Randolph,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Randolph,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Randolph,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Randolph,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Randolph,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Randolph,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Randolph,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Randolph,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Randolph,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Randolph,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Randolph,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Randolph,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Randolph,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Randolph,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Richmond,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Richmond,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Richmond,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Richmond,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Richmond,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Richmond,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Richmond,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Richmond,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Richmond,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Richmond,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Richmond,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Richmond,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Richmond,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Richmond,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Richmond,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Richmond,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Richmond,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Richmond,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Richmond,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Richmond,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Richmond,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Robeson,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Robeson,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Robeson,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Robeson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Robeson,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Robeson,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Robeson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Robeson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Robeson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Robeson,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Robeson,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Robeson,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Robeson,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Robeson,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Robeson,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Robeson,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Robeson,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Rockingham,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Rockingham,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Rockingham,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Rockingham,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Rockingham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Rockingham,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Rockingham,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Rockingham,CARE 'N CARE INSURANCE COMPANY OF NORTH CAROLINA,HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$95.00 ,Yes,H2624,001,0,4.5,,,,,,,,,,,*,
North Carolina,Rockingham,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Rockingham,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Rockingham,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Rockingham,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Rockingham,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Rockingham,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Rockingham,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Rockingham,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Rockingham,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Rockingham,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Rockingham,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Rockingham,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Rockingham,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Rockingham,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Rockingham,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Rockingham,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Rockingham,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Rockingham,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Rockingham,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Rowan,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Rowan,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Rowan,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Rowan,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Rowan,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Rowan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Rowan,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Rowan,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Rowan,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Rowan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Rowan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Rowan,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Rowan,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Rowan,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Rowan,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Rowan,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Rowan,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Rowan,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Rowan,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Rowan,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Rowan,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Rowan,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Rowan,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Rowan,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Rutherford,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Rutherford,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Rutherford,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Rutherford,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Rutherford,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Rutherford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Rutherford,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Rutherford,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Rutherford,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Rutherford,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Rutherford,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Rutherford,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Rutherford,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Rutherford,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Rutherford,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Rutherford,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Rutherford,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Rutherford,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Sampson,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Sampson,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Sampson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Sampson,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Sampson,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Sampson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Sampson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Sampson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Sampson,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Sampson,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Sampson,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Sampson,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Sampson,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Sampson,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Sampson,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Sampson,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Scotland,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Scotland,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Scotland,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Scotland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Scotland,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Scotland,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Scotland,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.60 ,$545.00 ,No,H3146,015,0,4.0,,,,,,,,,,,,
North Carolina,Scotland,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Scotland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Scotland,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Scotland,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Scotland,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Scotland,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Scotland,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Scotland,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Scotland,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Scotland,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Scotland,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Stanly,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Stanly,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Stanly,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Stanly,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Stanly,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Stanly,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Stanly,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Stanly,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Stanly,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Stanly,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Stanly,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Stanly,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Stanly,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Stanly,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Stanly,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Stanly,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Stanly,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Stokes,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Stokes,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Stokes,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Stokes,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Stokes,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Stokes,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Stokes,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Stokes,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H3146,003,0,4.0,,,,,,,,,,,,
North Carolina,Stokes,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Stokes,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Stokes,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Stokes,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Stokes,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Stokes,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Stokes,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Stokes,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Stokes,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Stokes,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Stokes,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Stokes,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Stokes,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Stokes,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Stokes,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Stokes,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Surry,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Surry,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Surry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Surry,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Surry,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Surry,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Surry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Surry,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Surry,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Surry,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Surry,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Surry,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Surry,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Surry,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Surry,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Swain,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Swain,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Swain,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Swain,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Swain,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Swain,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Swain,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Swain,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Swain,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Swain,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Swain,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Swain,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Swain,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Swain,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Swain,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Transylvania,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Transylvania,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Transylvania,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Transylvania,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Transylvania,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Transylvania,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Transylvania,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Transylvania,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Transylvania,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Transylvania,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Transylvania,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Transylvania,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Transylvania,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Transylvania,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Transylvania,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Transylvania,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Transylvania,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Transylvania,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Transylvania,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Transylvania,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Transylvania,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Transylvania,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Tyrrell,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Tyrrell,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Tyrrell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Tyrrell,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Tyrrell,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Tyrrell,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Tyrrell,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Tyrrell,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Tyrrell,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Tyrrell,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Union,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Union,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Union,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Union,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Union,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Union,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Union,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Union,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Union,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Union,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Union,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Union,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Union,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Union,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Union,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Union,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Union,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Union,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Union,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Union,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Union,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Union,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Union,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Union,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Union,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Vance,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Vance,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Vance,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Vance,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Vance,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Vance,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Vance,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Vance,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Vance,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Vance,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Vance,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Vance,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Vance,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Vance,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Vance,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Vance,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Vance,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Wake,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Wake,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Wake,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Wake,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Wake,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Wake,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Wake,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Wake,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Wake,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Wake,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.90 ,$545.00 ,No,H3146,018,0,4.0,,,,,,,,,,,,
North Carolina,Wake,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Wake,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Wake,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Wake,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Wake,UnitedHealthcare,UHC Care Advantage NC-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$31.00 ,$0.00 ,No,H5253,043,0,4.5,,,,,,,,,,,,
North Carolina,Wake,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Wake,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Wake,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Wake,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Wake,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Wake,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Wake,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.90 ,$545.00 ,No,H6345,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wake,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wake,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Wake,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wake,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Wake,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Wake,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Warren,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Warren,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Warren,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Warren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Warren,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Warren,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Warren,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Warren,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Warren,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Warren,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Warren,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Warren,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Warren,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Warren,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Warren,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Warren,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Washington,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Washington,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Washington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Washington,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Washington,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Washington,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Washington,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Washington,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Washington,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Washington,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Watauga,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Watauga,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Watauga,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Watauga,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Watauga,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Watauga,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Watauga,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Watauga,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Watauga,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Watauga,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Watauga,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Watauga,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Watauga,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Watauga,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Watauga,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Watauga,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Wayne,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Wayne,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Wayne,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Wayne,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Wayne,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Wayne,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Wayne,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Wayne,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Wayne,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Wayne,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Wayne,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Wayne,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Wayne,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wayne,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Wayne,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wayne,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Wilkes,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Wilkes,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Wilkes,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Wilkes,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Wilkes,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Wilkes,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Wilkes,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Wilkes,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Wilkes,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Wilkes,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Wilkes,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Wilkes,UnitedHealthcare,UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$35.10 ,$545.00 ,No,H5253,042,0,4.5,,,,,,,,,,,,
North Carolina,Wilkes,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Wilkes,Alignment Health Plan,Alignment Health NC Duals (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$10.20 ,$545.00 ,No,H5296,004,0,5.0,,,,,,,,,,,,
North Carolina,Wilkes,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5296,005,0,5.0,,,,,,,,,,,,*
North Carolina,Wilkes,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Wilkes,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Wilkes,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Wilkes,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wilkes,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Wilkes,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wilkes,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Wilkes,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Wilkes,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Wilson,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Wilson,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
North Carolina,Wilson,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Wilson,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Wilson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Wilson,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Wilson,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Wilson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.20 ,$545.00 ,No,H3146,002,0,4.0,,,,,,,,,,,,
North Carolina,Wilson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Wilson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Wilson,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Wilson,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Wilson,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Wilson,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Wilson,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Wilson,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wilson,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Wilson,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Wilson,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Yadkin,UnitedHealthcare,UHC Nursing Home Plan NC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.70 ,$545.00 ,No,H0710,034,0,5.0,,,,,,,,,,,,
North Carolina,Yadkin,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Yadkin,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Yadkin,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Yadkin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Yadkin,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Yadkin,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Yadkin,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H3146,008,0,4.0,,,,,,,,,,,,
North Carolina,Yadkin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Yadkin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Yadkin,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Yadkin,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Yadkin,Devoted Health,Devoted DUAL PLUS North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.10 ,$545.00 ,No,H5299,006,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Yadkin,Devoted Health,Devoted DUAL North Carolina (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H5299,009,0,Plan too new to be measured,,,,,,,,,,,,
North Carolina,Yadkin,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Yadkin,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Yadkin,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Yadkin,Liberty Medicare Advantage,Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$46.20 ,$545.00 ,No,H6351,001,0,Not enough data available,,,,,,,,,,,,
North Carolina,Yadkin,Liberty Medicare Advantage,Liberty Medicare Advantage (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H6351,004,0,Not enough data available,,,,,,,,,,,,*
North Carolina,Yadkin,Liberty Medicare Advantage,Liberty Medicare Dual Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6351,005,0,Not enough data available,,,,,,,,,,,,
North Carolina,Yadkin,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Yadkin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Yadkin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Carolina,Yancey,Wellcare,Wellcare Dual Access Medicare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.70 ,$545.00 ,No,H0712,025,0,3.5,,,,,,,,,,,,
North Carolina,Yancey,Humana,Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,167,0,5.0,,,,,,,,,,,,
North Carolina,Yancey,Humana,Humana Gold Plus SNP-DE H1036-307 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,307,0,5.0,,,,,,,,,,,,
North Carolina,Yancey,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H1036,308,0,5.0,,,,*,,,,,,*,,
North Carolina,Yancey,Humana,Humana Gold Plus SNP-DE H1036-309 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1036,309,0,5.0,,,,,,,,,,,,
North Carolina,Yancey,UnitedHealthcare,UHC Dual Complete NC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H1889,005,0,4.5,,,,,,,,,,,,
North Carolina,Yancey,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H3146,009,0,4.0,,,,,,,,,,,,
North Carolina,Yancey,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.70 ,$545.00 ,No,H4073,002,0,3.0,,,,,,,,,,,,
North Carolina,Yancey,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H4073,003,0,3.0,,,,,,,,,,,,
North Carolina,Yancey,Troy Medicare,Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H4676,002,0,2.5,,,,,,,,,,,,
North Carolina,Yancey,UnitedHealthcare,UHC Dual Complete NC-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,041,0,4.5,,,,,,,,,,,,
North Carolina,Yancey,UnitedHealthcare,UHC Dual Complete NC-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5253,116,0,4.5,,,,,,,,,,,,
North Carolina,Yancey,Humana,HumanaChoice SNP-DE H5525-036 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,036,0,4.0,,,,,,,,,,,,
North Carolina,Yancey,Humana,HumanaChoice SNP-DE H5525-072 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,072,0,4.0,,,,,,,,,,,,
North Carolina,Yancey,Humana,HumanaChoice SNP-DE H5525-073 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H5525,073,0,4.0,,,,,,,,,,,,
North Carolina,Yancey,Humana,Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H6622,027,0,4.0,,,,,,,,,,,,
North Carolina,Yancey,Blue Cross and Blue Shield of North Carolina,Healthy Blue + Medicare (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$46.90 ,$545.00 ,No,H9147,001,0,2.5,,,,,,,,,,,,
North Carolina,Yancey,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.80 ,$545.00 ,No,H9725,003,0,4.5,,,,,,,,,,,,
North Carolina,Yancey,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H9725,013,0,4.5,,,,,,,,,,,,
North Dakota,Barnes,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Barnes,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Burleigh,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Burleigh,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Cass,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Cass,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Dickey,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Dickey,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Grand Forks,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Grand Forks,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Hettinger,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Hettinger,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,McHenry,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,McHenry,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,McLean,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,McLean,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Morton,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Morton,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Nelson,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Nelson,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Ramsey,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Ramsey,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Ransom,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Ransom,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Renville,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Renville,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Richland,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Richland,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Stutsman,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Stutsman,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Traill,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Traill,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Walsh,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Walsh,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
North Dakota,Ward,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H8967,001,0,Not enough data available,,,,,,,,,,,,
North Dakota,Ward,Great Plains Medicare Advantage,Great Plains Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H8967,002,0,Not enough data available,,,,,,,,,,,,
Ohio,Adams,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Adams,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Adams,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Adams,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Adams,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Adams,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Adams,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Adams,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Adams,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Adams,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Adams,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Adams,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Adams,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Adams,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Adams,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Adams,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Adams,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Allen,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Allen,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Allen,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Allen,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Allen,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Allen,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Allen,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Allen,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Allen,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Allen,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Allen,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Allen,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Allen,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Allen,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Allen,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Allen,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Allen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Allen,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Allen,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Allen,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Allen,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Ashland,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Ashland,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Ashland,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Ashland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Ashland,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Ashland,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Ashland,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Ashland,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Ashland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Ashland,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Ashland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Ashland,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Ashland,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Ashland,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Ashland,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Ashland,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Ashland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Ashland,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Ashland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Ashland,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Ashland,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Ashtabula,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Ashtabula,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Ashtabula,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Ashtabula,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Ashtabula,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Ashtabula,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Ashtabula,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Ashtabula,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Ashtabula,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Ashtabula,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Ashtabula,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Athens,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Athens,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Athens,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Athens,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Athens,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Athens,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Athens,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Athens,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Athens,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Athens,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Athens,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Athens,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Athens,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Athens,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Auglaize,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Auglaize,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Auglaize,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Auglaize,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Auglaize,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Auglaize,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Auglaize,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Auglaize,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Auglaize,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Auglaize,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Auglaize,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Auglaize,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Auglaize,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Belmont,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Belmont,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Belmont,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Belmont,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Belmont,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Belmont,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Belmont,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Belmont,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Belmont,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Belmont,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Belmont,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Belmont,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Brown,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Brown,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Brown,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Brown,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Brown,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Brown,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Brown,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Brown,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Brown,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Brown,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Brown,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Brown,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Brown,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Brown,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Brown,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Brown,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Brown,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Brown,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Brown,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Brown,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Brown,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Brown,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Brown,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Butler,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Butler,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Butler,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Butler,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Butler,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Butler,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Butler,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Butler,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Butler,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Butler,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Butler,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Ohio,Butler,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Butler,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Butler,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Butler,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Butler,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Butler,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,3,Not enough data available,,,,,,,,,,,,*
Ohio,Butler,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Butler,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Butler,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Butler,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Butler,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Butler,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Butler,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Butler,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Butler,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Butler,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Butler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Butler,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Butler,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Butler,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Butler,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Carroll,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Carroll,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Carroll,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Carroll,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Carroll,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Carroll,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Carroll,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Carroll,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Carroll,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Carroll,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Carroll,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Carroll,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Carroll,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Carroll,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Carroll,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Carroll,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Carroll,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Carroll,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Carroll,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Carroll,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Champaign,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Champaign,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Champaign,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Champaign,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Champaign,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Champaign,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Champaign,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Champaign,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Champaign,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Champaign,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Champaign,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Champaign,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Champaign,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Champaign,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Champaign,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Champaign,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Champaign,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Champaign,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Champaign,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Champaign,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Champaign,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Champaign,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Champaign,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Clark,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Clark,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Clark,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Clark,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Clark,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Clark,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Clark,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Clark,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Clark,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Clark,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Clark,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Clark,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Clark,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Clark,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Clark,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Clark,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Clark,UnitedHealthcare,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H5253,060,0,4.5,,,,,,,,,,,,
Ohio,Clark,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Clark,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Clark,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Clark,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Clark,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Clark,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Clark,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Clark,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Clark,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Clermont,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Clermont,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Clermont,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Clermont,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Clermont,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Clermont,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Clermont,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Clermont,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Clermont,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Clermont,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Clermont,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Clermont,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Clermont,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Clermont,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Clermont,UnitedHealthcare,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$30.30 ,$545.00 ,No,H5322,001,0,4.0,,,,,,,,,,,,
Ohio,Clermont,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Clermont,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Clermont,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Clermont,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Clermont,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Clermont,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Clermont,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Clermont,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Clermont,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Clermont,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Clermont,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Clermont,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Clermont,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Clinton,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Clinton,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Clinton,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Clinton,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Clinton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Clinton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Clinton,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Clinton,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Clinton,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Clinton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Clinton,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Clinton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Clinton,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Clinton,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Clinton,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Clinton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Clinton,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Clinton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Clinton,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Clinton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Clinton,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Clinton,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Clinton,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Clinton,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Columbiana,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Columbiana,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Columbiana,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Columbiana,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Columbiana,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Columbiana,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Columbiana,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Columbiana,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Columbiana,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Columbiana,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Columbiana,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Columbiana,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Columbiana,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Columbiana,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Coshocton,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Coshocton,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Coshocton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Coshocton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Coshocton,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Coshocton,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Coshocton,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Coshocton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Coshocton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Coshocton,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Coshocton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Coshocton,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Coshocton,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Coshocton,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Coshocton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Coshocton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Coshocton,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Coshocton,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Crawford,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Crawford,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Crawford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Crawford,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Crawford,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Crawford,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Crawford,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Crawford,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Crawford,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Crawford,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Crawford,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Crawford,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Crawford,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Crawford,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Crawford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Crawford,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Crawford,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Cuyahoga,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Cuyahoga,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Cuyahoga,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Cuyahoga,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Cuyahoga,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Cuyahoga,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Cuyahoga,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Cuyahoga,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Cuyahoga,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Cuyahoga,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Ohio,Cuyahoga,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Cuyahoga,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3655,047,0,3.5,,,,,,,,,,,,*
Ohio,Cuyahoga,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Cuyahoga,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Cuyahoga,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,3,Not enough data available,,,,,,,,,,,,*
Ohio,Cuyahoga,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Cuyahoga,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Cuyahoga,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Cuyahoga,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Cuyahoga,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Cuyahoga,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Cuyahoga,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Cuyahoga,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Cuyahoga,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Cuyahoga,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Cuyahoga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Cuyahoga,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Cuyahoga,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Cuyahoga,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Cuyahoga,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Darke,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Darke,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Darke,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Darke,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Darke,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Darke,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Darke,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Darke,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Darke,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Darke,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Darke,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Darke,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Darke,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Darke,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Darke,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Darke,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Darke,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Darke,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Darke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Darke,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Darke,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Darke,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Darke,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Defiance,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Defiance,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Defiance,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Defiance,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Defiance,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Defiance,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Defiance,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Defiance,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Defiance,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Defiance,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Defiance,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Defiance,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Defiance,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Defiance,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Defiance,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Defiance,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Defiance,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Delaware,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Delaware,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Delaware,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Delaware,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Delaware,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Delaware,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Delaware,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Delaware,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Delaware,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Delaware,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Delaware,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Delaware,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Delaware,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Delaware,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Delaware,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Delaware,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Delaware,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Delaware,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Delaware,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Delaware,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Delaware,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Delaware,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Erie,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Erie,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Erie,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Erie,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Erie,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Erie,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Erie,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Erie,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Erie,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Erie,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Erie,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Erie,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Erie,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Erie,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Erie,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Erie,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Erie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Erie,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Erie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Erie,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Erie,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Erie,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Erie,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Fairfield,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Fairfield,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Fairfield,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Fairfield,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Fairfield,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Fairfield,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Fairfield,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Fairfield,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Fairfield,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Fairfield,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Fairfield,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Fairfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Fairfield,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Fairfield,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Fayette,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Fayette,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Fayette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Fayette,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Fayette,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Fayette,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Fayette,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Fayette,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Fayette,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Fayette,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Fayette,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Fayette,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Fayette,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Fayette,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Fayette,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Franklin,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Franklin,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Franklin,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Franklin,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Franklin,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Franklin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Franklin,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Franklin,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Ohio,Franklin,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Franklin,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3655,047,0,3.5,,,,,,,,,,,,*
Ohio,Franklin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Franklin,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Franklin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Franklin,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Franklin,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Franklin,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Franklin,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Franklin,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Franklin,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Franklin,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Franklin,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Franklin,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Franklin,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Fulton,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Fulton,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Fulton,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Fulton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Fulton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Fulton,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Fulton,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Fulton,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Fulton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Fulton,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Fulton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Fulton,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Fulton,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Fulton,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Fulton,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Fulton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Fulton,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Fulton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Fulton,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Fulton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Fulton,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Fulton,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Gallia,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Gallia,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Gallia,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Gallia,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Gallia,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Gallia,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Gallia,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Gallia,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Gallia,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Gallia,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Gallia,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Gallia,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Gallia,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Gallia,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Gallia,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Geauga,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Geauga,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Geauga,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Geauga,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Geauga,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Geauga,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Geauga,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Geauga,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Geauga,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Geauga,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Geauga,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Geauga,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Geauga,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Geauga,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Geauga,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Geauga,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Geauga,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Geauga,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Geauga,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Geauga,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Geauga,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Geauga,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Geauga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Geauga,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Geauga,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Geauga,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Geauga,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Greene,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Greene,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Greene,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Greene,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Greene,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Greene,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Greene,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Greene,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Greene,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Greene,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Greene,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Greene,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Greene,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Greene,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Greene,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Greene,UnitedHealthcare,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H5253,060,0,4.5,,,,,,,,,,,,
Ohio,Greene,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Greene,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Greene,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Greene,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Greene,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Greene,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Greene,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Greene,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Greene,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Greene,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Guernsey,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Guernsey,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Guernsey,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Guernsey,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Guernsey,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Guernsey,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Guernsey,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Guernsey,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Guernsey,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Guernsey,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Guernsey,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Guernsey,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Guernsey,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Guernsey,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Guernsey,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Guernsey,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Guernsey,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Guernsey,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Hamilton,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Hamilton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Hamilton,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Hamilton,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Hamilton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Hamilton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Hamilton,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Hamilton,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Hamilton,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3655,047,0,3.5,,,,,,,,,,,,*
Ohio,Hamilton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Hamilton,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,3,Not enough data available,,,,,,,,,,,,*
Ohio,Hamilton,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Hamilton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Hamilton,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Hamilton,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Hamilton,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Hamilton,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Hamilton,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Hamilton,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Hamilton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Hamilton,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Hamilton,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Hamilton,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Hamilton,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Hancock,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Hancock,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Hancock,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Hancock,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Hancock,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Hancock,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Hancock,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Hancock,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Hancock,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Hancock,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Hancock,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Hancock,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Hancock,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Hancock,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Hancock,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Hancock,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Hancock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Hancock,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Hancock,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Hardin,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Hardin,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Hardin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Hardin,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Hardin,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Hardin,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Hardin,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Hardin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Hardin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Hardin,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Hardin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Hardin,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Hardin,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Hardin,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Hardin,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Hardin,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Hardin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Hardin,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Hardin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Hardin,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Hardin,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Harrison,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Harrison,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Harrison,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Harrison,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Harrison,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Harrison,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Harrison,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Harrison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Harrison,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Harrison,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Harrison,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Harrison,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Harrison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Harrison,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Harrison,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Henry,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Henry,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Henry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Henry,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Henry,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Henry,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Henry,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Henry,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Henry,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Henry,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Henry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Henry,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Henry,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Henry,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Henry,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Henry,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Henry,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Henry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Henry,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Henry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Henry,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Henry,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Highland,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Highland,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Highland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Highland,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Highland,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Highland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Highland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Highland,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Highland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Highland,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Highland,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Highland,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Highland,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Highland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Highland,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Highland,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Hocking,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Hocking,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Hocking,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Hocking,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Hocking,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Hocking,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Hocking,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Hocking,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Hocking,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Hocking,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Hocking,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Hocking,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Hocking,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Hocking,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Hocking,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Hocking,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Hocking,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Hocking,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Holmes,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Holmes,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Holmes,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Holmes,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Holmes,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Holmes,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Holmes,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Holmes,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Holmes,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Holmes,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Holmes,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Holmes,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Holmes,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Holmes,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Holmes,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Holmes,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Holmes,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Holmes,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Holmes,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Holmes,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Huron,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Huron,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Huron,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Huron,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Huron,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Huron,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Huron,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Huron,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Huron,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Huron,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Huron,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Huron,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Huron,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Huron,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Huron,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Huron,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Huron,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Jackson,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Jackson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Jackson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Jackson,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Jackson,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Jackson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Jackson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Jackson,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Jackson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Jackson,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Jackson,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Jackson,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Jackson,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Jackson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Jackson,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Jackson,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Jefferson,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Jefferson,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Jefferson,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Jefferson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Jefferson,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Jefferson,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Jefferson,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Jefferson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Jefferson,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Jefferson,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Jefferson,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Jefferson,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Jefferson,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Jefferson,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Knox,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Knox,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Knox,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Knox,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Knox,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Knox,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Knox,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Knox,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Knox,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Knox,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Knox,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Knox,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Knox,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Knox,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Knox,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Knox,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Knox,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Knox,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Knox,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Lake,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Lake,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Lake,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Lake,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Lake,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Lake,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Lake,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Lake,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Lake,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Lake,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Lake,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Lake,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Lake,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Lake,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Lake,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Lake,UnitedHealthcare,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H5253,060,0,4.5,,,,,,,,,,,,
Ohio,Lake,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Lake,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Lake,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Lake,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Lake,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Lake,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Lake,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Lake,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Lake,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Lake,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Lake,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Lake,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Lake,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Lawrence,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Lawrence,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Lawrence,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Lawrence,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Lawrence,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Lawrence,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Lawrence,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Lawrence,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Lawrence,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Lawrence,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Lawrence,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Lawrence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Lawrence,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Lawrence,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Licking,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Licking,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Licking,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Licking,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Licking,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Licking,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Licking,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Licking,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Licking,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Licking,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Licking,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Licking,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Licking,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Licking,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Licking,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Licking,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Licking,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Licking,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Licking,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Licking,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Licking,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Logan,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Logan,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Logan,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Logan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Logan,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Logan,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Logan,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Logan,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Logan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Logan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Logan,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Logan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Logan,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Logan,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Logan,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Logan,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Logan,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Logan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Logan,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Logan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Logan,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Logan,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Lorain,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Lorain,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Lorain,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Lorain,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Lorain,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Lorain,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Lorain,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Lorain,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Lorain,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Lorain,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Lorain,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Lorain,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Lorain,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Lorain,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,3,Not enough data available,,,,,,,,,,,,*
Ohio,Lorain,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Lorain,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Lorain,UnitedHealthcare,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H5253,060,0,4.5,,,,,,,,,,,,
Ohio,Lorain,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Lorain,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Lorain,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Lorain,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Lorain,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Lorain,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Lorain,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Lorain,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Lorain,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Lorain,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Lorain,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Lucas,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Lucas,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Lucas,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Lucas,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Lucas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Lucas,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Lucas,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Lucas,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Lucas,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Lucas,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Lucas,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Lucas,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Lucas,UnitedHealthcare,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H5253,060,0,4.5,,,,,,,,,,,,
Ohio,Lucas,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Lucas,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Lucas,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Lucas,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Lucas,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Lucas,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Lucas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Lucas,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Lucas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Lucas,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Lucas,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Lucas,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Lucas,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Madison,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Madison,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Madison,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Madison,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Madison,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Madison,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Madison,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Madison,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Madison,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Madison,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Madison,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Madison,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Madison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Madison,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Madison,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Madison,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Madison,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Madison,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Madison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Madison,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Madison,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Madison,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Madison,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Mahoning,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Mahoning,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Mahoning,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Mahoning,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Mahoning,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Mahoning,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Mahoning,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Mahoning,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Mahoning,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Mahoning,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Mahoning,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Mahoning,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Mahoning,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Mahoning,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Mahoning,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Mahoning,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Mahoning,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Mahoning,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Mahoning,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Mahoning,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Mahoning,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Mahoning,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Mahoning,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Mahoning,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Mahoning,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Mahoning,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Marion,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Marion,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Marion,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Marion,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Marion,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Marion,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Marion,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Marion,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Marion,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Marion,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Marion,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Marion,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Marion,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Marion,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Marion,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Marion,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Marion,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Marion,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Medina,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Medina,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Medina,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Medina,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Medina,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Medina,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Medina,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Medina,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Medina,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Medina,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Medina,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Medina,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Medina,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Medina,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Medina,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Medina,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Medina,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Medina,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Medina,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Medina,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Medina,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Medina,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Medina,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Medina,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Medina,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Meigs,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Meigs,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Meigs,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Meigs,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Meigs,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Meigs,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Meigs,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Meigs,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Meigs,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Meigs,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Meigs,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Meigs,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Meigs,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Meigs,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Meigs,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Mercer,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Mercer,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Mercer,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Mercer,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Mercer,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Mercer,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Mercer,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Mercer,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Mercer,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Mercer,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Mercer,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Mercer,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Mercer,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Mercer,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Mercer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Mercer,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Mercer,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Miami,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Miami,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Miami,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Miami,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Miami,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Miami,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Miami,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Miami,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Miami,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Miami,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Miami,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Miami,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Miami,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Miami,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Miami,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Miami,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Miami,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Miami,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Miami,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Miami,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Miami,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Miami,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Miami,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Miami,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Miami,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Miami,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Monroe,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Monroe,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Monroe,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Monroe,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Monroe,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Monroe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Monroe,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Monroe,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Monroe,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Monroe,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Monroe,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Monroe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Monroe,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Monroe,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Montgomery,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Montgomery,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Montgomery,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Montgomery,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Montgomery,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Montgomery,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Montgomery,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Montgomery,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Montgomery,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Montgomery,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Ohio,Montgomery,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Montgomery,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Montgomery,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Montgomery,Communicare Advantage,CommuniCare Advantage CSNP (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$545.00 ,No,H3727,001,3,Not enough data available,,,,,,,,,,,,*
Ohio,Montgomery,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Montgomery,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Montgomery,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Montgomery,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Montgomery,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Montgomery,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Montgomery,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Montgomery,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Montgomery,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Montgomery,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Montgomery,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Montgomery,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Montgomery,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Montgomery,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Morgan,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Morgan,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Morgan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Morgan,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Morgan,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Morgan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Morgan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Morgan,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Morgan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Morgan,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Morgan,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Morgan,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Morgan,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Morgan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Morgan,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Morgan,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Morrow,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Morrow,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Morrow,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Morrow,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Morrow,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Morrow,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Morrow,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Morrow,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Morrow,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Morrow,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Morrow,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Morrow,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Morrow,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Morrow,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Morrow,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Morrow,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Morrow,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Morrow,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Morrow,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Morrow,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Muskingum,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Muskingum,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Muskingum,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Muskingum,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Muskingum,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Muskingum,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Muskingum,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Muskingum,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Muskingum,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Muskingum,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Muskingum,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Muskingum,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Muskingum,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Muskingum,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Muskingum,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Noble,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Noble,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Noble,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Noble,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Noble,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Noble,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Noble,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Noble,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Noble,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Noble,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Noble,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Noble,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Noble,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Noble,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Noble,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Noble,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Ottawa,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Ottawa,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Ottawa,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Ottawa,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Ottawa,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Ottawa,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Ottawa,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Ottawa,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Ottawa,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Ottawa,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Ottawa,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Ottawa,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Ottawa,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Paulding,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Paulding,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Paulding,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Paulding,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Paulding,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Paulding,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Paulding,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Paulding,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Paulding,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Paulding,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Paulding,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Paulding,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Paulding,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Paulding,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Paulding,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Paulding,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Paulding,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Paulding,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Paulding,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Paulding,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Paulding,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Perry,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Perry,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Perry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Perry,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Perry,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Perry,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Perry,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Perry,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Perry,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Perry,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Perry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Perry,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Perry,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Perry,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Perry,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Perry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Perry,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Perry,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Pickaway,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Pickaway,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Pickaway,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Pickaway,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Pickaway,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Pickaway,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Pickaway,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Pickaway,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Pickaway,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Pickaway,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Pickaway,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Pickaway,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Pickaway,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Pike,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Pike,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Pike,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Pike,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Pike,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Pike,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Pike,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Pike,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Pike,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Pike,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Pike,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Pike,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Pike,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Pike,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Pike,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Pike,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Portage,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Portage,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Portage,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Portage,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Portage,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Portage,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Portage,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Portage,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Portage,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Portage,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Portage,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Portage,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Portage,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Portage,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Portage,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Portage,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Portage,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Portage,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Portage,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Portage,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Portage,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Portage,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Portage,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Portage,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Portage,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Preble,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Preble,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Preble,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Preble,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Preble,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Preble,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Preble,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Preble,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Preble,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Preble,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Preble,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Preble,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Preble,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Preble,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Preble,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Preble,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Preble,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Preble,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Preble,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Preble,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Preble,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Preble,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Preble,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Preble,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Putnam,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Putnam,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Putnam,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Putnam,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Putnam,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Putnam,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Putnam,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Putnam,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Putnam,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Putnam,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Putnam,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Putnam,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Putnam,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Putnam,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Putnam,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Putnam,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Putnam,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Putnam,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Putnam,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Putnam,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Richland,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Richland,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Richland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Richland,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Richland,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Richland,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Richland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Richland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Richland,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Richland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Richland,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Richland,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Richland,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Richland,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Richland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Richland,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Richland,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Ross,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Ross,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Ross,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Ross,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Ross,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Ross,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Ross,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Ross,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Ross,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Ross,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Ross,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Ross,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Ross,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Ross,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Sandusky,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Sandusky,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Sandusky,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Sandusky,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Sandusky,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Sandusky,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Sandusky,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Sandusky,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Sandusky,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Sandusky,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Sandusky,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Sandusky,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Sandusky,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Sandusky,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Sandusky,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Sandusky,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Sandusky,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Sandusky,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Sandusky,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Sandusky,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Scioto,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Scioto,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Scioto,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Scioto,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Scioto,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Scioto,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Scioto,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Scioto,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Scioto,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Scioto,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Scioto,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Scioto,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Scioto,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Scioto,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Seneca,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Seneca,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Seneca,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Seneca,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Seneca,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Seneca,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Seneca,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Seneca,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Seneca,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Seneca,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Seneca,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Seneca,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Seneca,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Seneca,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Seneca,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Seneca,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Seneca,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Seneca,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Seneca,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Seneca,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Shelby,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Shelby,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Shelby,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Shelby,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Shelby,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Shelby,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Shelby,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Shelby,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Shelby,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Shelby,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Shelby,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Shelby,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Shelby,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Shelby,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Shelby,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Shelby,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Shelby,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Shelby,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Shelby,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Shelby,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Shelby,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Shelby,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Shelby,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Shelby,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Stark,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Stark,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Stark,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Stark,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Stark,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Stark,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Stark,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Stark,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Stark,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Stark,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Ohio,Stark,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Stark,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Stark,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Stark,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Stark,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Stark,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Stark,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Stark,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Stark,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Stark,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Stark,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Stark,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Stark,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Stark,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Stark,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Stark,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Stark,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Stark,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Summit,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Summit,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Summit,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Summit,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Summit,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Summit,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Summit,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Summit,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Summit,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Summit,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Ohio,Summit,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Summit,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Summit,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Summit,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Summit,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Summit,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Summit,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Summit,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Summit,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Summit,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Summit,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Summit,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Summit,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Summit,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Summit,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Summit,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Summit,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Summit,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Summit,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Summit,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Trumbull,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Trumbull,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Trumbull,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Trumbull,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Trumbull,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Trumbull,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Trumbull,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Trumbull,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Trumbull,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Trumbull,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Trumbull,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Trumbull,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Trumbull,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Trumbull,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Trumbull,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Trumbull,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Trumbull,UnitedHealthcare,UHC Nursing Home Plan OH-F003 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$30.30 ,$545.00 ,No,H5322,001,0,4.0,,,,,,,,,,,,
Ohio,Trumbull,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Trumbull,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Trumbull,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Trumbull,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Trumbull,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Trumbull,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Trumbull,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Trumbull,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Trumbull,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Trumbull,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Tuscarawas,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Tuscarawas,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Tuscarawas,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Tuscarawas,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Tuscarawas,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Tuscarawas,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Tuscarawas,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Tuscarawas,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Tuscarawas,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Tuscarawas,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Tuscarawas,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Tuscarawas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Union,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Union,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Union,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Union,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Union,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Union,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Union,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Union,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Union,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Union,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Union,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Union,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Union,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Union,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Union,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Union,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Union,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Union,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Union,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Union,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Van Wert,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Van Wert,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Van Wert,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Van Wert,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Van Wert,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Van Wert,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Van Wert,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Van Wert,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Van Wert,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Van Wert,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Van Wert,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Van Wert,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Van Wert,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Vinton,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Vinton,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Vinton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Vinton,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Vinton,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Vinton,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Vinton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Vinton,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Vinton,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Vinton,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Vinton,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Vinton,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Vinton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Vinton,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Vinton,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Warren,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Warren,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Warren,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Warren,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H0672,015,0,3.0,,,,,,,,,,,,
Ohio,Warren,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.00 ,$545.00 ,No,H0672,018,0,3.0,,,,,,,,,,,,
Ohio,Warren,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Warren,UnitedHealthcare,UHC Care Advantage OH-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.90 ,$0.00 ,No,H0710,057,0,5.0,,,,,,,,,,,,
Ohio,Warren,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Warren,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Warren,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Warren,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Warren,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Warren,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Warren,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Warren,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Warren,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Warren,UnitedHealthcare,UHC Dual Complete OH-D001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,059,0,4.5,,,,,,,,,,,,
Ohio,Warren,UnitedHealthcare,UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$25.30 ,$545.00 ,No,H5253,060,0,4.5,,,,,,,,,,,,
Ohio,Warren,UnitedHealthcare,UHC Dual Complete OH-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5253,122,0,4.5,,,,,,,,,,,,
Ohio,Warren,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Warren,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Warren,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Warren,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Warren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Warren,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Warren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Warren,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Warren,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Warren,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Warren,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Washington,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Washington,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Washington,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Washington,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Washington,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Washington,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Washington,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Washington,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Washington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Washington,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Washington,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Washington,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Washington,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,015,0,4.5,,,,,,,,,,,,
Ohio,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Washington,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Washington,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Wayne,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Wayne,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Wayne,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Wayne,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Wayne,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Wayne,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Wayne,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Wayne,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Wayne,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Wayne,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Wayne,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Wayne,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Wayne,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Wayne,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Wayne,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,014,0,4.5,,,,,,,,,,,,
Ohio,Wayne,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Wayne,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Wayne,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Williams,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Williams,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Williams,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Williams,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Williams,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Williams,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Williams,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Williams,Communicare Advantage,CommuniCare Advantage ISNP (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H3727,002,3,Not enough data available,,,,,,,,,,,,
Ohio,Williams,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Williams,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Williams,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Williams,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Williams,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Williams,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Williams,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Williams,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Williams,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Williams,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Williams,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Wood,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Wood,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Wood,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0628,018,0,4.0,,,,,,,,,,,,
Ohio,Wood,UnitedHealthcare,UHC Nursing Home Plan OH-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H0710,027,0,5.0,,,,,,,,,,,,
Ohio,Wood,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Wood,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Wood,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Wood,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Wood,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Wood,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Wood,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Wood,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Wood,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Wood,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Wood,Wellcare,Wellcare Dual Access Extra (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H5475,021,0,3.0,,,,,,,,,,,,
Ohio,Wood,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Wood,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Wood,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Wood,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Wood,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Wood,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Wood,Perennial Advantage,Perennial Advantage Strive (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H8797,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Wood,Perennial Advantage,Perennial Advantage Premier (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H8797,004,0,Not enough data available,,,,,,,,,,,,
Ohio,Wood,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Wood,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Ohio,Wyandot,UnitedHealthcare,UHC Dual Complete OH-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H0271,055,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,Aetna Medicare,Aetna Medicare Assure 1 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.70 ,$545.00 ,No,H0628,013,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.80 ,$545.00 ,No,H0908,001,0,2.5,,,,,,,,,,,,
Ohio,Wyandot,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$17.20 ,$545.00 ,No,H0908,006,0,2.5,,,,,,,,,,,,
Ohio,Wyandot,Valor Health Plan,Valor Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.90 ,$545.00 ,No,H1119,001,0,Not enough data available,,,,,,,,,,,,
Ohio,Wyandot,Devoted Health,Devoted DUAL PLUS Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.70 ,$545.00 ,No,H2697,010,0,5.0,,,,,,,,,,,,
Ohio,Wyandot,Devoted Health,Devoted DUAL Ohio (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.20 ,$545.00 ,No,H2697,011,0,5.0,,,,,,,,,,,,
Ohio,Wyandot,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3655,033,0,3.5,,,,,,,,,,,,
Ohio,Wyandot,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.70 ,$545.00 ,No,H3655,048,0,3.5,,,,,,,,,,,,
Ohio,Wyandot,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.40 ,$545.00 ,No,H5216,401,0,4.5,,,,,,,,,,,,
Ohio,Wyandot,UnitedHealthcare,UHC Dual Complete OH-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,028,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,UnitedHealthcare,UHC Dual Complete OH-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5322,034,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,Humana,HumanaChoice SNP-DE H5525-046 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H5525,046,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,CareSource,CareSource Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6396,005,0,4.5,,,,,,,,,,,,
Ohio,Wyandot,Humana,Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,015,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$200.00 ,No,H6622,017,0,4.0,,,,,,,,,,,,*
Ohio,Wyandot,Humana,Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H6622,087,0,4.0,,,,,,,,,,,,
Ohio,Wyandot,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H7169,003,0,2.5,,,,,,,,,,,,
Ohio,Wyandot,Molina Healthcare of Ohio,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.50 ,$545.00 ,No,H9955,001,0,3.0,,,,,,,,,,,,
Ohio,Wyandot,Molina Healthcare of Ohio,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H9955,003,0,3.0,,,,,,,,,,,,
Oklahoma,Adair,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Adair,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Adair,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Adair,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Adair,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Adair,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Adair,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Adair,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Adair,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Adair,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Alfalfa,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Alfalfa,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Alfalfa,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Atoka,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Atoka,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Atoka,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Beaver,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Beaver,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Beaver,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Beckham,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Beckham,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Beckham,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Blaine,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Blaine,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Blaine,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Blaine,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Blaine,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Blaine,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Bryan,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Bryan,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Bryan,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Bryan,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Bryan,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Bryan,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Bryan,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Bryan,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Caddo,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Caddo,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Caddo,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Caddo,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Caddo,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Caddo,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Caddo,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Caddo,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Caddo,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Caddo,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Caddo,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Caddo,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Caddo,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Caddo,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Canadian,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Canadian,UnitedHealthcare,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$39.20 ,$545.00 ,No,H0710,052,0,5.0,,,,,,,,,,,,
Oklahoma,Canadian,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Canadian,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Canadian,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Canadian,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Canadian,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Canadian,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Canadian,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Canadian,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Canadian,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Canadian,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Canadian,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Canadian,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Canadian,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Canadian,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Canadian,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Canadian,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Carter,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Carter,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Carter,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Carter,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Carter,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Carter,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Carter,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Carter,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Carter,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Carter,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Carter,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Cherokee,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Cherokee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Cherokee,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Cherokee,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Cherokee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Cherokee,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Cherokee,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Cherokee,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Cherokee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Cherokee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Cherokee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Choctaw,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Choctaw,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Choctaw,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Choctaw,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Choctaw,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Choctaw,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Cimarron,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Cimarron,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Cimarron,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Cleveland,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Cleveland,UnitedHealthcare,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$39.20 ,$545.00 ,No,H0710,052,0,5.0,,,,,,,,,,,,
Oklahoma,Cleveland,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Cleveland,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Cleveland,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Cleveland,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Cleveland,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Cleveland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Cleveland,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Cleveland,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Cleveland,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Cleveland,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Cleveland,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Cleveland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Cleveland,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Cleveland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Cleveland,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Cleveland,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Coal,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Coal,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Coal,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Coal,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Comanche,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Comanche,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Comanche,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Comanche,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Comanche,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Comanche,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Comanche,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Comanche,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Comanche,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Comanche,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Comanche,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Cotton,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Cotton,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Cotton,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Cotton,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Craig,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Craig,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Craig,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Craig,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Craig,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Craig,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Creek,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Creek,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Creek,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Creek,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Creek,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Creek,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Creek,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Creek,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Creek,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Creek,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Creek,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Creek,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Creek,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Creek,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Creek,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Creek,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Custer,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Custer,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Custer,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Delaware,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Delaware,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Delaware,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Delaware,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Delaware,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Delaware,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Delaware,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Delaware,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Delaware,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Delaware,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Dewey,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Dewey,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Dewey,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Dewey,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Dewey,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Ellis,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Ellis,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Garfield,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Garfield,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Garfield,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Garfield,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Garfield,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Garfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Garfield,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Garfield,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Garfield,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Garfield,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Garfield,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Garfield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Garfield,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Garvin,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Garvin,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Garvin,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Garvin,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Garvin,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Garvin,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Garvin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Garvin,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Garvin,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Garvin,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Garvin,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Garvin,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Garvin,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Garvin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Garvin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Garvin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Grady,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Grady,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Grady,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Grady,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Grady,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Grady,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Grady,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Grady,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Grady,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Grady,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Grady,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Grady,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Grady,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Grady,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Grady,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Grady,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Grady,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Grant,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Grant,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Grant,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Greer,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Greer,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Greer,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Greer,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Harmon,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Harmon,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Harmon,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Haskell,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Haskell,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Haskell,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Haskell,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Haskell,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Hughes,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Hughes,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Hughes,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Hughes,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Hughes,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Hughes,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Hughes,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Hughes,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Hughes,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Hughes,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Hughes,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Jackson,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Jackson,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Jackson,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Jackson,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Jackson,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Jackson,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Jefferson,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Jefferson,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Jefferson,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Jefferson,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Johnston,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Johnston,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Johnston,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Johnston,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Johnston,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Johnston,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Johnston,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Kay,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Kay,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Kay,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Kay,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Kay,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Kay,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Kay,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Kay,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Kay,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Kay,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Kay,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Kingfisher,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Kingfisher,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Kingfisher,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Kingfisher,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Kingfisher,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Kingfisher,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Kingfisher,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Kingfisher,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Kingfisher,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Kiowa,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Kiowa,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Kiowa,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Kiowa,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Kiowa,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Latimer,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Latimer,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Latimer,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Latimer,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Latimer,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Le Flore,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Le Flore,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Le Flore,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Le Flore,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Le Flore,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Le Flore,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Le Flore,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Le Flore,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Le Flore,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Le Flore,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Lincoln,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Lincoln,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Lincoln,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Lincoln,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Lincoln,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Lincoln,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Lincoln,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Lincoln,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Lincoln,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Lincoln,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Lincoln,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Lincoln,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Lincoln,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Lincoln,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Lincoln,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Lincoln,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Logan,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Logan,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Logan,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Logan,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Logan,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Logan,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Logan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Logan,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Logan,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Logan,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Logan,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Logan,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Logan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Logan,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Logan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Logan,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Logan,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Love,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Love,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Love,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Love,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Love,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Major,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Major,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Major,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Marshall,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Marshall,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Marshall,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Marshall,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Marshall,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Mayes,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Mayes,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Mayes,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Mayes,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Mayes,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Mayes,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Mayes,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Mayes,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Mayes,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Mayes,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Mayes,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Mayes,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Mayes,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Mayes,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Mayes,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Mayes,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,McClain,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,McClain,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,McClain,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,McClain,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,McClain,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,McClain,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,McClain,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,McClain,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,McClain,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,McClain,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,McClain,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,McClain,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,McClain,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,McClain,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,McClain,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,McClain,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,McClain,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,McCurtain,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,McCurtain,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,McCurtain,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,McCurtain,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,McCurtain,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,McIntosh,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,McIntosh,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,McIntosh,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,McIntosh,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,McIntosh,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,McIntosh,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,McIntosh,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,McIntosh,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,McIntosh,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,McIntosh,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,McIntosh,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,McIntosh,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,McIntosh,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,McIntosh,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,McIntosh,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Murray,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Murray,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Murray,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Murray,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Murray,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Murray,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Murray,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Muskogee,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Muskogee,UnitedHealthcare,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$39.20 ,$545.00 ,No,H0710,052,0,5.0,,,,,,,,,,,,
Oklahoma,Muskogee,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Muskogee,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Muskogee,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Muskogee,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Muskogee,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Muskogee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Muskogee,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Muskogee,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Muskogee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Muskogee,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Muskogee,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Muskogee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Muskogee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Muskogee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Noble,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Noble,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Noble,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Noble,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Noble,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Noble,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Nowata,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Nowata,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Nowata,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Nowata,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Nowata,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Okfuskee,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Okfuskee,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Okfuskee,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Okfuskee,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Okfuskee,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Okfuskee,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Okfuskee,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Okfuskee,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Okfuskee,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Okfuskee,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Oklahoma,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Oklahoma,UnitedHealthcare,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$39.20 ,$545.00 ,No,H0710,052,0,5.0,,,,,,,,,,,,
Oklahoma,Oklahoma,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Oklahoma,Oklahoma,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Oklahoma,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Oklahoma,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Oklahoma,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Oklahoma,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Oklahoma,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Oklahoma,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Oklahoma,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Oklahoma,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Oklahoma,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Oklahoma,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Oklahoma,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Oklahoma,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Oklahoma,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Oklahoma,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Oklahoma,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Okmulgee,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Okmulgee,UnitedHealthcare,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$39.20 ,$545.00 ,No,H0710,052,0,5.0,,,,,,,,,,,,
Oklahoma,Okmulgee,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Okmulgee,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Okmulgee,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Okmulgee,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Okmulgee,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Okmulgee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Okmulgee,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Okmulgee,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Okmulgee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Okmulgee,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Okmulgee,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Okmulgee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Okmulgee,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Okmulgee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Okmulgee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Okmulgee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Osage,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Osage,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Osage,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Osage,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Osage,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Osage,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Osage,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Osage,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Osage,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Osage,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Osage,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Osage,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Ottawa,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Ottawa,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Ottawa,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Ottawa,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Ottawa,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Ottawa,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Ottawa,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Ottawa,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Ottawa,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Ottawa,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Pawnee,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Pawnee,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Pawnee,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Pawnee,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Pawnee,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Pawnee,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Pawnee,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Pawnee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Pawnee,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Pawnee,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Pawnee,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Payne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Payne,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Payne,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Payne,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Payne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Payne,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Payne,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Pittsburg,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Pittsburg,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Pittsburg,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Pittsburg,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Pittsburg,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Pittsburg,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Pittsburg,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Pittsburg,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Pittsburg,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Pittsburg,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Pittsburg,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Pittsburg,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Pittsburg,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Pittsburg,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Pittsburg,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Pontotoc,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Pontotoc,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Pontotoc,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Pontotoc,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Pontotoc,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Pontotoc,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Pontotoc,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Pontotoc,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Pontotoc,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Pontotoc,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Pontotoc,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Pottawatomie,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Pottawatomie,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Pottawatomie,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Pottawatomie,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Pottawatomie,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Pottawatomie,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Pottawatomie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Pottawatomie,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Pottawatomie,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Pottawatomie,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Pottawatomie,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Pottawatomie,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Pottawatomie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Pottawatomie,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Pottawatomie,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Pottawatomie,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Pottawatomie,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Pushmataha,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Pushmataha,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Pushmataha,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Pushmataha,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Pushmataha,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Roger Mills,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Roger Mills,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Roger Mills,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Rogers,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Rogers,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Rogers,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Rogers,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Rogers,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Rogers,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Rogers,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Rogers,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Rogers,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Rogers,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Rogers,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Rogers,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Rogers,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Rogers,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Rogers,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Rogers,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Seminole,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Seminole,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Seminole,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Seminole,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Seminole,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Seminole,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Seminole,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Seminole,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Seminole,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Seminole,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Seminole,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Seminole,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Seminole,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Seminole,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Seminole,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Seminole,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Seminole,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Sequoyah,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Sequoyah,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Sequoyah,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Sequoyah,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Sequoyah,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Sequoyah,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Sequoyah,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Sequoyah,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Sequoyah,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Sequoyah,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Stephens,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Stephens,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Stephens,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Stephens,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Stephens,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Stephens,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Stephens,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Texas,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Texas,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Texas,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Tillman,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Tillman,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Tillman,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Tulsa,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Tulsa,UnitedHealthcare,UHC Nursing Home Plan OK-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$39.20 ,$545.00 ,No,H0710,052,0,5.0,,,,,,,,,,,,
Oklahoma,Tulsa,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Oklahoma,Tulsa,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Tulsa,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Tulsa,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Tulsa,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Tulsa,American Health Advantage of Oklahoma,American Health Advantage of Oklahoma (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H3708,001,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Tulsa,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Tulsa,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Tulsa,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Tulsa,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Tulsa,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Tulsa,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Tulsa,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Tulsa,"Blue Cross and Blue Shield of OK, TX",Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.00 ,$545.00 ,No,H8554,003,0,3.5,,,,,,,,,,,,
Oklahoma,Tulsa,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Tulsa,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Tulsa,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Wagoner,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Wagoner,GlobalHealth,Generations Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,024,0,4.5,,,,,,,,,,,,*
Oklahoma,Wagoner,GlobalHealth,Generations Chronic Care Savings (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3706,025,0,4.5,,,,,,,,,,,,*
Oklahoma,Wagoner,GlobalHealth,Generations Dual Support (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.70 ,$545.00 ,No,H3706,028,0,4.5,,,,,,,,,,,,
Oklahoma,Wagoner,GlobalHealth,Generations Dual Premier (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.80 ,$545.00 ,No,H3706,029,0,4.5,,,,,,,,,,,,
Oklahoma,Wagoner,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$33.50 ,$545.00 ,No,H4537,004,0,Not enough data available,,,,,,,,,,,,
Oklahoma,Wagoner,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Wagoner,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oklahoma,Wagoner,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5216,372,0,4.5,,,,,,,,,,,,*
Oklahoma,Wagoner,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Wagoner,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Wagoner,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H6622,071,0,4.0,,,,,,,,,,,,*
Oklahoma,Wagoner,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.90 ,$545.00 ,No,H9900,002,0,2.0,,,,,,,,,,,,
Oklahoma,Wagoner,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H9900,003,0,2.0,,,,,,,,,,,,
Oklahoma,Wagoner,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$20.70 ,$545.00 ,No,H9900,009,0,2.0,,,,,,,,,,,,
Oklahoma,Washita,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Washita,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Washita,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Woods,UnitedHealthcare,UHC Dual Complete OK-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.30 ,$545.00 ,No,H0271,053,0,4.0,,,,,,,,,,,,
Oklahoma,Woods,UnitedHealthcare,UHC Dual Complete OK-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.10 ,$545.00 ,No,H5322,031,0,4.0,,,,,,,,,,,,
Oklahoma,Woods,UnitedHealthcare,UHC Dual Complete OK-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.10 ,$545.00 ,No,H5322,033,0,4.0,,,,,,,,,,,,
Oklahoma,Woodward,Humana,HumanaChoice SNP-DE H5216-228 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,228,0,4.5,,,,,,,,,,,,
Oklahoma,Woodward,Humana,HumanaChoice SNP-DE H5216-331 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5216,331,0,4.5,,,,,,,,,,,,
Oregon,Benton,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Benton,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Benton,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Benton,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Benton,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Benton,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Benton,Samaritan Advantage Health Plans,Samaritan Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3811,003,0,3.0,,,,,,,,,,,,
Oregon,Clackamas,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Clackamas,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Clackamas,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Clackamas,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H1036,306,0,5.0,,,,*,,,,,,,,
Oregon,Clackamas,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Clackamas,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Clackamas,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Clackamas,UnitedHealthcare,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.30 ,$545.00 ,No,H2406,033,0,4.0,,,,,,,,,,,,
Oregon,Clackamas,UnitedHealthcare,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$33.00 ,$200.00 ,No,H2406,049,0,4.0,,,,,,,,,,,,
Oregon,Clackamas,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Clackamas,CareOregon Advantage,CareOregon Advantage Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,No,H5859,001,0,3.5,,,,,,,,,,,,
Oregon,Clackamas,Providence Medicare Advantage Plans,Providence Medicare Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H9047,043,0,3.5,,,,,,,,,,,,
Oregon,Columbia,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Columbia,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H1036,306,0,5.0,,,,*,,,,,,,,
Oregon,Columbia,CareOregon Advantage,CareOregon Advantage Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,No,H5859,001,0,3.5,,,,,,,,,,,,
Oregon,Crook,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Curry,AllCare Advantage,AllCare Advantage Redwood Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3810,023,0,3.5,,,,,,,,,,,,
Oregon,Deschutes,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H1036,306,0,5.0,,,,*,,,,,,,,
Oregon,Deschutes,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Douglas,AllCare Advantage,AllCare Advantage Redwood Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3810,023,0,3.5,,,,,,,,,,,,
Oregon,Douglas,ATRIO Health Plans,ATRIO Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.70 ,$545.00 ,No,H3814,030,0,3.0,,,,,,,,,,,,
Oregon,Hood River,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Jackson,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Jackson,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Jackson,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Jackson,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Jackson,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Jackson,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Jackson,AllCare Advantage,AllCare Advantage Redwood Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3810,023,0,3.5,,,,,,,,,,,,
Oregon,Jackson,CareOregon Advantage,CareOregon Advantage Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,No,H5859,001,0,3.5,,,,,,,,,,,,
Oregon,Jefferson,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H1036,306,0,5.0,,,,*,,,,,,,,
Oregon,Jefferson,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Josephine,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Josephine,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Josephine,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Josephine,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Josephine,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Josephine,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Josephine,AllCare Advantage,AllCare Advantage Redwood Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3810,023,0,3.5,,,,,,,,,,,,
Oregon,Klamath,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Klamath,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Klamath,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Klamath,ATRIO Health Plans,ATRIO Special Needs Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3814,007,0,3.0,,,,,,,,,,,,
Oregon,Klamath,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Lane,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Lane,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Lane,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Lane,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Lane,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Lane,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Lane,Wellcare by Trillium,Wellcare Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.60 ,$545.00 ,No,H2174,001,0,3.0,,,,,,,,,,,,
Oregon,Lane,UnitedHealthcare,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.30 ,$545.00 ,No,H2406,033,0,4.0,,,,,,,,,,,,
Oregon,Lane,UnitedHealthcare,UHC Care Advantage OR-E002 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$36.70 ,$0.00 ,No,H3113,008,0,3.5,,,,,,,,,,,,
Oregon,Lane,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Lincoln,Samaritan Advantage Health Plans,Samaritan Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3811,003,0,3.0,,,,,,,,,,,,
Oregon,Linn,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Linn,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Linn,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Linn,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Linn,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Linn,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Linn,UnitedHealthcare,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.30 ,$545.00 ,No,H2406,033,0,4.0,,,,,,,,,,,,
Oregon,Linn,UnitedHealthcare,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$33.00 ,$200.00 ,No,H2406,049,0,4.0,,,,,,,,,,,,
Oregon,Linn,Samaritan Advantage Health Plans,Samaritan Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H3811,003,0,3.0,,,,,,,,,,,,
Oregon,Marion,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Marion,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Marion,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Marion,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Marion,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Marion,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Marion,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Marion,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H5995,001,0,3.0,,,,,,,,,,,,
Oregon,Multnomah,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Multnomah,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Multnomah,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Multnomah,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H1036,306,0,5.0,,,,*,,,,,,,,
Oregon,Multnomah,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Multnomah,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Multnomah,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Multnomah,UnitedHealthcare,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.30 ,$545.00 ,No,H2406,033,0,4.0,,,,,,,,,,,,
Oregon,Multnomah,UnitedHealthcare,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$33.00 ,$200.00 ,No,H2406,049,0,4.0,,,,,,,,,,,,
Oregon,Multnomah,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Multnomah,CareOregon Advantage,CareOregon Advantage Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,No,H5859,001,0,3.5,,,,,,,,,,,,
Oregon,Multnomah,Providence Medicare Advantage Plans,Providence Medicare Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H9047,043,0,3.5,,,,,,,,,,,,
Oregon,Polk,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Polk,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Polk,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Polk,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Polk,ATRIO Health Plans,ATRIO Special Needs Plan (Willamette) (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H5995,001,0,3.0,,,,,,,,,,,,
Oregon,Tillamook,CareOregon Advantage,CareOregon Advantage Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,No,H5859,001,0,3.5,,,,,,,,,,,,
Oregon,Wasco,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Washington,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Washington,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Washington,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Washington,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H1036,306,0,5.0,,,,*,,,,,,,,
Oregon,Washington,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Washington,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Washington,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Washington,UnitedHealthcare,UHC Nursing Home Plan OR-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.30 ,$545.00 ,No,H2406,033,0,4.0,,,,,,,,,,,,
Oregon,Washington,UnitedHealthcare,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$33.00 ,$200.00 ,No,H2406,049,0,4.0,,,,,,,,,,,,
Oregon,Washington,PacificSource Medicare,PacificSource Dual Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,Yes,H3864,043,0,3.5,,,,,,,,,,,,
Oregon,Washington,CareOregon Advantage,CareOregon Advantage Plus (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$40.60 ,$545.00 ,No,H5859,001,0,3.5,,,,,,,,,,,,
Oregon,Washington,Providence Medicare Advantage Plans,Providence Medicare Dual Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H9047,043,0,3.5,,,,,,,,,,,,
Oregon,Yamhill,UnitedHealthcare,UHC Complete Care OR-001A (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Basic,DS,$21.00 ,$545.00 ,No,H0271,036,0,4.0,,,,,,,,,,,,*
Oregon,Yamhill,UnitedHealthcare,UHC Nursing Home Plan OR-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$30.40 ,$545.00 ,No,H0710,036,0,5.0,,,,,,,,,,,,
Oregon,Yamhill,UnitedHealthcare,UHC Care Advantage OR-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,037,0,5.0,,,,,,,,,,,,
Oregon,Yamhill,AgeRight Advantage,AgeRight Advantage Health Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.60 ,$545.00 ,No,H1372,001,0,Not enough data available,,,,,,,,,,,,
Oregon,Yamhill,AgeRight Advantage,AgeRight Advantage Plus Health Plan (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,002,0,Not enough data available,,,,,,,,,,,,
Oregon,Yamhill,AgeRight Advantage,AgeRight Advantage Premier Health Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$55.00 ,$300.00 ,No,H1372,003,0,Not enough data available,,,,,,,,,,,,*
Oregon,Yamhill,UnitedHealthcare,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$33.00 ,$200.00 ,No,H2406,049,0,4.0,,,,,,,,,,,,
Pennsylvania,Adams,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Adams,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Adams,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Adams,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Adams,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Adams,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Adams,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Adams,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Adams,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Adams,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Adams,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Adams,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Adams,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Adams,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Adams,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Allegheny,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Allegheny,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Allegheny,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Allegheny,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Allegheny,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Allegheny,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Allegheny,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Allegheny,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Allegheny,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Allegheny,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Allegheny,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Armstrong,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Armstrong,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Armstrong,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Armstrong,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Armstrong,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Armstrong,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Armstrong,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Armstrong,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Armstrong,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Beaver,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Beaver,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Beaver,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Beaver,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Beaver,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Beaver,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Beaver,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Beaver,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Beaver,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Beaver,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Beaver,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Beaver,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Beaver,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Beaver,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Beaver,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Beaver,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Beaver,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Bedford,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Bedford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Bedford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Bedford,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Bedford,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Bedford,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Bedford,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Bedford,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Bedford,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Bedford,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Bedford,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Bedford,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Bedford,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Berks,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Berks,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Berks,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Berks,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Berks,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Berks,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Berks,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Berks,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Berks,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Berks,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Berks,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Berks,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Berks,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Berks,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Berks,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Berks,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Berks,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Blair,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Blair,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Blair,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Blair,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Blair,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Blair,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Blair,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Blair,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Blair,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Blair,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Blair,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Blair,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Blair,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Blair,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Blair,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Bradford,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Bradford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Bradford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Bradford,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Bradford,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Bradford,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Bradford,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Bradford,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Bradford,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Bradford,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Bradford,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Bradford,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Bradford,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Bucks,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Bucks,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Bucks,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Bucks,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Bucks,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Bucks,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Bucks,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Bucks,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Bucks,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3949,024,0,3.5,,,,*,,,,,,,,
Pennsylvania,Bucks,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Bucks,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3959,035,0,4.5,,,,,,,,,,,,
Pennsylvania,Bucks,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Bucks,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Bucks,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Bucks,VISTA Health Plan Inc.,Keystone First VIP Choice (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Bucks,Humana,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,373,0,4.5,,,,,,,,,,,,
Pennsylvania,Bucks,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Pennsylvania,Bucks,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Pennsylvania,Bucks,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,012,0,4.5,,,,,,,,,,,,
Pennsylvania,Bucks,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.80 ,$545.00 ,No,H5932,013,0,4.5,,,,,,,,,,,,
Pennsylvania,Bucks,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,2,4.0,,,,,,,,,,,,
Pennsylvania,Bucks,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$39.20 ,$545.00 ,No,H7123,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Bucks,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Bucks,Jefferson Health Plans,Jefferson Health Plans Dual Pearl (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,016,0,3.5,,,,,,,,,,,,
Pennsylvania,Butler,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Butler,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Butler,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Butler,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Butler,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Butler,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Butler,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Butler,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Butler,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Butler,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Butler,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Butler,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Butler,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Butler,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Butler,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Butler,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Butler,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Cambria,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Cambria,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Cambria,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Cambria,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Cambria,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Cambria,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Cambria,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Cambria,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Cambria,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Cambria,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Cambria,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Cambria,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Cambria,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Cambria,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Cameron,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Cameron,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Cameron,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Cameron,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Cameron,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Cameron,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Cameron,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Cameron,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Cameron,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Cameron,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Cameron,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Cameron,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Cameron,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Carbon,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Carbon,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Carbon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Carbon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Carbon,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Carbon,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Carbon,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Carbon,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Carbon,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Carbon,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Carbon,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Carbon,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Carbon,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Carbon,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Carbon,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Carbon,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Centre,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Centre,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Centre,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Centre,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Centre,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Centre,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Centre,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Centre,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Centre,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Centre,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Centre,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Centre,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Centre,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Centre,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Centre,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Chester,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Chester,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Chester,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Chester,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Chester,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Chester,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Chester,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Chester,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Chester,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3949,024,0,3.5,,,,*,,,,,,,,
Pennsylvania,Chester,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Chester,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3959,035,0,4.5,,,,,,,,,,,,
Pennsylvania,Chester,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Chester,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Chester,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Chester,VISTA Health Plan Inc.,Keystone First VIP Choice (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Chester,Humana,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,373,0,4.5,,,,,,,,,,,,
Pennsylvania,Chester,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,012,0,4.5,,,,,,,,,,,,
Pennsylvania,Chester,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.80 ,$545.00 ,No,H5932,013,0,4.5,,,,,,,,,,,,
Pennsylvania,Chester,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,2,4.0,,,,,,,,,,,,
Pennsylvania,Chester,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$39.20 ,$545.00 ,No,H7123,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Chester,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Clarion,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Clarion,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Clarion,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Clarion,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Clarion,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Clarion,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Clarion,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Clarion,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Clarion,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Clarion,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Clarion,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Clarion,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Clarion,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Clarion,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Clarion,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Clearfield,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Clearfield,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Clearfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Clearfield,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Clearfield,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Clearfield,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Clearfield,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Clearfield,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Clearfield,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Clearfield,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Clearfield,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Clearfield,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Clearfield,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Clearfield,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Clinton,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Clinton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Clinton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Clinton,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Clinton,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Clinton,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Clinton,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Clinton,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Clinton,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Clinton,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Clinton,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Clinton,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Clinton,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Clinton,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Columbia,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Columbia,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Columbia,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Columbia,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Columbia,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Columbia,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Columbia,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Columbia,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Columbia,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Crawford,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Crawford,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Crawford,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Crawford,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Crawford,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Crawford,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Crawford,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Crawford,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Crawford,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Crawford,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Crawford,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Crawford,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Crawford,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Crawford,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Crawford,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Crawford,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Crawford,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Crawford,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Cumberland,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Cumberland,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Cumberland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Cumberland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Cumberland,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Cumberland,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Cumberland,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Cumberland,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Cumberland,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Cumberland,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Cumberland,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Cumberland,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Cumberland,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Cumberland,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Cumberland,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Cumberland,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Dauphin,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Dauphin,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Dauphin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Dauphin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Dauphin,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Dauphin,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Dauphin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Dauphin,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Dauphin,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Dauphin,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Dauphin,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Dauphin,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Dauphin,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Dauphin,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Dauphin,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Dauphin,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Delaware,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Delaware,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Delaware,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Delaware,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Delaware,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Delaware,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Delaware,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Delaware,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Delaware,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3949,024,0,3.5,,,,*,,,,,,,,
Pennsylvania,Delaware,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Delaware,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3959,035,0,4.5,,,,,,,,,,,,
Pennsylvania,Delaware,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Delaware,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Delaware,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Delaware,VISTA Health Plan Inc.,Keystone First VIP Choice (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Delaware,Humana,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,373,0,4.5,,,,,,,,,,,,
Pennsylvania,Delaware,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Pennsylvania,Delaware,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Pennsylvania,Delaware,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,012,0,4.5,,,,,,,,,,,,
Pennsylvania,Delaware,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.80 ,$545.00 ,No,H5932,013,0,4.5,,,,,,,,,,,,
Pennsylvania,Delaware,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,2,4.0,,,,,,,,,,,,
Pennsylvania,Delaware,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$39.20 ,$545.00 ,No,H7123,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Delaware,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Elk,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Elk,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Elk,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Elk,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Elk,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Elk,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Elk,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Elk,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Elk,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Elk,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Elk,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Elk,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Elk,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Erie,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Erie,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Erie,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Erie,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Erie,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Erie,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Erie,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Erie,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Erie,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Erie,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Erie,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Erie,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Erie,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Erie,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Fayette,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Fayette,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Fayette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Fayette,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Fayette,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Fayette,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Fayette,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Fayette,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Fayette,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Fayette,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Fayette,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Fayette,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Fayette,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Fayette,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Fayette,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Forest,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Forest,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Forest,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Forest,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Forest,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Forest,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Forest,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Forest,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Forest,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Forest,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Forest,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Forest,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Forest,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Franklin,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Franklin,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Franklin,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Franklin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Franklin,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Franklin,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Franklin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Franklin,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Franklin,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Franklin,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Franklin,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Franklin,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Franklin,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Franklin,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Franklin,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Fulton,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Fulton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Fulton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Fulton,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Fulton,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Fulton,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Fulton,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Fulton,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Fulton,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Fulton,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Fulton,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Fulton,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Fulton,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Greene,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Greene,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Greene,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Greene,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Greene,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Greene,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Greene,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Greene,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Greene,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Greene,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Greene,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Greene,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Greene,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Greene,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Greene,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Huntingdon,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Huntingdon,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Huntingdon,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Huntingdon,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Huntingdon,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Indiana,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Indiana,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Indiana,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Indiana,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Indiana,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Indiana,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Indiana,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Indiana,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Indiana,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Indiana,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Indiana,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Indiana,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Indiana,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Jefferson,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Jefferson,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Jefferson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Jefferson,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Jefferson,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Jefferson,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Jefferson,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Jefferson,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Jefferson,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Jefferson,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Jefferson,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Jefferson,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Jefferson,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Juniata,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Juniata,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Juniata,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Juniata,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Juniata,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Juniata,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Juniata,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Juniata,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Juniata,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Juniata,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Juniata,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Juniata,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Juniata,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Juniata,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Lackawanna,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Lackawanna,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Lackawanna,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Lackawanna,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Lackawanna,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Lancaster,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Lancaster,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Lancaster,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Lancaster,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lancaster,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Lancaster,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Lancaster,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Lancaster,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Lancaster,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Lancaster,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Lancaster,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Lancaster,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Lawrence,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Lawrence,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Lawrence,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lawrence,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Lawrence,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Lawrence,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Lawrence,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Lawrence,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Lawrence,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Lawrence,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Lebanon,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Lebanon,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Lebanon,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Lebanon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Lebanon,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lebanon,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Lebanon,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lebanon,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Lebanon,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Lebanon,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Lebanon,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Lebanon,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Lebanon,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Lebanon,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Lebanon,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Lebanon,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Lehigh,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Lehigh,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Lehigh,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Lehigh,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Lehigh,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Lehigh,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lehigh,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Lehigh,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lehigh,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Lehigh,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Lehigh,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Lehigh,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Lehigh,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Lehigh,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Lehigh,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Lehigh,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Lehigh,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Luzerne,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Luzerne,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Luzerne,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Luzerne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Luzerne,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Luzerne,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Luzerne,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Luzerne,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Luzerne,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Luzerne,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Luzerne,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Luzerne,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Luzerne,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Luzerne,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Lycoming,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Lycoming,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Lycoming,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Lycoming,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Lycoming,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Lycoming,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Lycoming,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Lycoming,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Lycoming,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Lycoming,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Lycoming,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Lycoming,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Lycoming,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Lycoming,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Lycoming,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,McKean,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,McKean,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,McKean,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,McKean,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,McKean,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,McKean,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,McKean,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,McKean,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,McKean,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,McKean,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,McKean,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,McKean,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,McKean,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Mercer,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Mercer,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Mercer,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Mercer,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Mercer,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Mercer,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Mercer,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Mercer,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Mercer,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Mercer,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Mercer,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Mercer,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Mercer,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Mercer,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Mercer,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Mercer,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Mifflin,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Mifflin,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Mifflin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Mifflin,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Mifflin,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Mifflin,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Mifflin,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Mifflin,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Mifflin,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Mifflin,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Mifflin,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Mifflin,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Mifflin,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Mifflin,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Mifflin,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Monroe,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Monroe,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Monroe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Monroe,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Monroe,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Monroe,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Monroe,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Monroe,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Monroe,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Monroe,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Monroe,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Monroe,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Monroe,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Monroe,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Monroe,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Montgomery,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Montgomery,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Montgomery,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Montgomery,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Montgomery,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3949,024,0,3.5,,,,*,,,,,,,,
Pennsylvania,Montgomery,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Montgomery,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3959,035,0,4.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Montgomery,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Montgomery,VISTA Health Plan Inc.,Keystone First VIP Choice (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Humana,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,373,0,4.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,012,0,4.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.80 ,$545.00 ,No,H5932,013,0,4.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,2,4.0,,,,,,,,,,,,
Pennsylvania,Montgomery,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$39.20 ,$545.00 ,No,H7123,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Montgomery,Jefferson Health Plans,Jefferson Health Plans Dual Pearl (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,016,0,3.5,,,,,,,,,,,,
Pennsylvania,Montour,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Montour,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Montour,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Montour,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Montour,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Montour,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Montour,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Montour,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Montour,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Montour,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Montour,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Montour,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Montour,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Northampton,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Northampton,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Northampton,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Northampton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Northampton,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Northampton,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Northampton,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Northampton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Northampton,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Northampton,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Northampton,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Northampton,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Northampton,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Northampton,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Northampton,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Northampton,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Northampton,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Northampton,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Northumberland,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Northumberland,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Northumberland,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Northumberland,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Northumberland,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Northumberland,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Northumberland,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Northumberland,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Northumberland,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Northumberland,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Perry,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Perry,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Perry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Perry,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Perry,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Perry,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Perry,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Perry,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Perry,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Perry,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Perry,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Perry,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Perry,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Perry,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Perry,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Philadelphia,UnitedHealthcare,UHC Care Advantage PA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$35.60 ,$0.00 ,No,H0710,067,0,5.0,,,,,,,,,,,,
Pennsylvania,Philadelphia,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Philadelphia,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Cigna Healthcare,Cigna Achieve Medicare (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H3949,024,0,3.5,,,,*,,,,,,,,
Pennsylvania,Philadelphia,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Philadelphia,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3959,035,0,4.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Philadelphia,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Philadelphia,VISTA Health Plan Inc.,Keystone First VIP Choice (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Humana,HumanaChoice SNP-DE H5216-373 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,373,0,4.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,012,0,4.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$38.80 ,$545.00 ,No,H5932,013,0,4.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,2,4.0,,,,,,,,,,,,
Pennsylvania,Philadelphia,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$39.20 ,$545.00 ,No,H7123,001,0,3.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Philadelphia,Jefferson Health Plans,Jefferson Health Plans Dual Pearl (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,016,0,3.5,,,,,,,,,,,,
Pennsylvania,Pike,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Pike,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Pike,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Pike,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Pike,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Pike,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Pike,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Pike,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Pike,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Potter,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Potter,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Potter,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Potter,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Potter,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Potter,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Potter,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Potter,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Potter,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Potter,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Potter,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Potter,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Potter,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Schuylkill,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Schuylkill,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Schuylkill,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Schuylkill,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Schuylkill,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Schuylkill,Jefferson Health Plans,Jefferson Health Plans Special (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H9207,004,0,3.5,,,,,,,,,,,,
Pennsylvania,Snyder,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Snyder,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Snyder,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Snyder,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Snyder,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Snyder,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Snyder,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Snyder,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Snyder,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Snyder,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Snyder,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Snyder,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Snyder,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Snyder,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Somerset,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Somerset,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Somerset,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Somerset,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Somerset,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Somerset,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Somerset,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Somerset,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Somerset,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Somerset,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Somerset,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Somerset,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Somerset,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Somerset,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Somerset,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Somerset,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Sullivan,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Sullivan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Sullivan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Sullivan,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Sullivan,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Sullivan,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Sullivan,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Sullivan,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Sullivan,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Sullivan,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Sullivan,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Sullivan,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Sullivan,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Susquehanna,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Susquehanna,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Susquehanna,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Susquehanna,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Tioga,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Tioga,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Tioga,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Tioga,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Tioga,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Tioga,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Tioga,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Tioga,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Tioga,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Tioga,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Tioga,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Tioga,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Tioga,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,Union,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Union,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Union,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Union,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Union,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Union,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Union,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Union,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Union,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Union,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Union,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Union,Aetna Medicare,Aetna Medicare Dual Preferred (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.40 ,$545.00 ,No,H5522,024,0,4.5,,,,,,,,,,,,
Pennsylvania,Union,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Union,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Venango,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Venango,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Venango,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Venango,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Venango,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Venango,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Venango,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Venango,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Venango,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Venango,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Venango,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Venango,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Venango,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Venango,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Venango,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Warren,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Warren,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Warren,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Warren,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Warren,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Warren,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Warren,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Warren,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Warren,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Warren,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Warren,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Warren,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Warren,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Washington,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Washington,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Washington,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Washington,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Washington,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Washington,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Washington,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Washington,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Washington,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Washington,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Washington,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Washington,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Washington,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Washington,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Wayne,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Wayne,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Wayne,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Wayne,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Wayne,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Wayne,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Wayne,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Wayne,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Wayne,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Wayne,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Wayne,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Wayne,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Wayne,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Wayne,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,Westmoreland,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,002,0,4.0,,,,,,,,,,,,
Pennsylvania,Westmoreland,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Westmoreland,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Provider Partners Health Plans,Provider Partners Pennsylvania Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H4093,001,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Westmoreland,Provider Partners Health Plans,Provider Partners Pennsylvania Community Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$0.00 ,$545.00 ,No,H4093,004,0,Not enough data available,,,,,,,,,,,,
Pennsylvania,Westmoreland,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,Westmoreland,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Westmoreland,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Wyoming,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,Wyoming,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,Wyoming,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,Wyoming,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,Wyoming,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,Wyoming,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,Wyoming,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,Wyoming,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,Wyoming,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,Wyoming,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$38.60 ,$545.00 ,No,H4279,004,0,5.0,,,,,,,,,,,,
Pennsylvania,Wyoming,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,Wyoming,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Pennsylvania,Wyoming,Humana,Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.90 ,$545.00 ,No,H6622,078,1,4.0,,,,,,,,,,,,
Pennsylvania,York,UnitedHealthcare,UHC Nursing Home Plan EX-F002 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.20 ,$545.00 ,No,H0710,017,0,5.0,,,,,,,,,,,,
Pennsylvania,York,UnitedHealthcare,UHC Dual Complete PA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H1889,007,0,4.5,,,,,,,,,,,,
Pennsylvania,York,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$29.20 ,$545.00 ,No,H2128,005,0,2.5,,,,,,,,,,,,
Pennsylvania,York,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H2915,007,0,4.0,,,,,,,,,,,,
Pennsylvania,York,UnitedHealthcare,UHC Dual Complete PA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3113,009,0,3.5,,,,,,,,,,,,
Pennsylvania,York,UnitedHealthcare,UHC Dual Complete PA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.50 ,$545.00 ,No,H3113,014,0,3.5,,,,,,,,,,,,
Pennsylvania,York,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3949,009,0,3.5,,,,,,,,,,,,
Pennsylvania,York,Geisinger Gold,Geisinger Gold Secure Rx (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3954,097,0,4.0,,,,,,,,,,,,
Pennsylvania,York,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.30 ,$545.00 ,No,H3959,036,0,4.5,,,,,,,,,,,,
Pennsylvania,York,Aetna Medicare,Aetna Medicare Longevity Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$39.00 ,$545.00 ,No,H3959,066,0,4.5,,,,,,,,,,,,
Pennsylvania,York,VISTA Health Plan Inc.,AmeriHealth Caritas VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.20 ,$545.00 ,No,H4227,002,0,3.5,,,,,,,,,,,,
Pennsylvania,York,UPMC for Life Complete Care,UPMC for Life Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Enhanced,EA,$40.20 ,$545.00 ,No,H4279,001,0,5.0,,,,,,,,,,,,
Pennsylvania,York,Humana,HumanaChoice SNP-DE H5216-227 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,227,0,4.5,,,,,,,,,,,,
Pennsylvania,York,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Diamond (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,001,0,4.5,,,,,,,,,,,,
Pennsylvania,York,Highmark Wholecare Medicare Assured,Highmark Wholecare Medicare Assured Ruby (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$40.20 ,$545.00 ,No,H5932,009,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Adjuntas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Adjuntas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Adjuntas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Adjuntas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Adjuntas,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Aguada,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguada,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguada,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguada,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Aguada,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Aguada,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Aguada,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguada,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Aguadilla,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Aguadilla,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Aguadilla,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Aguadilla,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguadilla,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Aguas Buenas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Aguas Buenas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Aguas Buenas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Aibonito,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Aibonito,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Aibonito,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Aibonito,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Aibonito,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Aibonito,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Aibonito,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Aibonito,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Aibonito,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Aibonito,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Aibonito,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Aibonito,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Aibonito,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Anasco,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Anasco,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Anasco,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Anasco,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Anasco,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Anasco,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Anasco,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Anasco,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Arecibo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Arecibo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Arecibo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Arecibo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Arecibo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Arecibo,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Arroyo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Arroyo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Arroyo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Arroyo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Arroyo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Arroyo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Arroyo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Arroyo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Arroyo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Arroyo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Arroyo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Arroyo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Arroyo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Barceloneta,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Barceloneta,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Barceloneta,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Barceloneta,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Barceloneta,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Barranquitas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Barranquitas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Barranquitas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Barranquitas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Barranquitas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Barranquitas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Barranquitas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Barranquitas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Barranquitas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Barranquitas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Barranquitas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Bayamon,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Bayamon,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Bayamon,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Bayamon,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Bayamon,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Bayamon,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Bayamon,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Bayamon,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Bayamon,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Bayamon,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Bayamon,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Bayamon,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Bayamon,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Cabo Rojo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Cabo Rojo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Cabo Rojo,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Caguas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Caguas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Caguas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Caguas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Caguas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Caguas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Caguas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Caguas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Caguas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Caguas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Caguas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Caguas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Caguas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Camuy,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Camuy,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Camuy,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Camuy,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Camuy,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Camuy,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Camuy,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Camuy,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Canovanas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Canovanas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Canovanas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Canovanas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Canovanas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Canovanas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Canovanas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Canovanas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Canovanas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Canovanas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Canovanas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Canovanas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Canovanas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Carolina,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Carolina,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Carolina,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Carolina,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Carolina,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Carolina,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Carolina,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Carolina,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Carolina,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Carolina,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Carolina,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Carolina,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Carolina,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Catano,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Catano,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Catano,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Catano,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Catano,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Catano,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Catano,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Catano,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Catano,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Catano,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Catano,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Catano,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Catano,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Catano,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Cayey,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Cayey,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Cayey,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Cayey,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Cayey,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Cayey,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Cayey,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Cayey,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Cayey,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Cayey,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Cayey,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Cayey,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Cayey,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Ceiba,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Ceiba,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Ceiba,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Ceiba,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Ceiba,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Ceiba,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Ceiba,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Ceiba,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Ceiba,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Ceiba,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Ceiba,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Ceiba,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Ceiba,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Ciales,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Ciales,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Ciales,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Ciales,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Ciales,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Ciales,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Ciales,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Cidra,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Cidra,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Cidra,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Cidra,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Cidra,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Cidra,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Cidra,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Cidra,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Cidra,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Cidra,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Cidra,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Cidra,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Cidra,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Coamo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Coamo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Coamo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Coamo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Coamo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Coamo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Coamo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Coamo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Coamo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Coamo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Coamo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Coamo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Coamo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Comerio,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Comerio,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Comerio,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Comerio,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Comerio,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Comerio,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Comerio,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Comerio,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Comerio,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Comerio,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Comerio,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Comerio,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Comerio,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Corozal,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Corozal,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Corozal,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Corozal,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Corozal,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Corozal,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Corozal,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Corozal,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Corozal,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Corozal,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Corozal,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Corozal,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Corozal,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Culebra,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Culebra,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Culebra,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Culebra,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Culebra,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Culebra,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Culebra,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Culebra,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Culebra,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Culebra,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Culebra,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Culebra,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Culebra,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Dorado,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Dorado,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Dorado,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Dorado,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Dorado,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Dorado,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Dorado,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Fajardo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Fajardo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Fajardo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Fajardo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Fajardo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Fajardo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Fajardo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Fajardo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Fajardo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Fajardo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Fajardo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Fajardo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Fajardo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Florida,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Florida,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Florida,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Florida,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Florida,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Florida,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Florida,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Florida,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Guanica,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Guanica,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Guanica,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Guanica,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Guanica,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Guanica,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Guanica,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayama,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Guayama,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Guayama,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Guayama,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayama,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayama,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayama,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Guayama,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Guayama,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Guayama,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayama,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayama,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayama,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Guayanilla,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Guayanilla,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Guayanilla,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Guayanilla,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Guayanilla,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Guaynabo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Guaynabo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Guaynabo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Guaynabo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Guaynabo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Guaynabo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Guaynabo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Guaynabo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Guaynabo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Guaynabo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Guaynabo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Gurabo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Gurabo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Gurabo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Gurabo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Gurabo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Gurabo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Gurabo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Gurabo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Gurabo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Gurabo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Gurabo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Gurabo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Gurabo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Hatillo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Hatillo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Hatillo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Hatillo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Hatillo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Hatillo,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Hormigueros,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Hormigueros,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Hormigueros,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Hormigueros,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Hormigueros,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Humacao,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Humacao,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Humacao,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Humacao,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Humacao,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Humacao,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Humacao,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Humacao,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Humacao,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Humacao,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Humacao,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Humacao,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Humacao,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Isabela,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Isabela,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Isabela,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Isabela,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Isabela,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Isabela,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Isabela,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Isabela,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Jayuya,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Jayuya,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Jayuya,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Jayuya,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Jayuya,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Jayuya,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Jayuya,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Juana Diaz,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Juana Diaz,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Juana Diaz,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Juncos,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Juncos,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Juncos,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Juncos,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Juncos,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Juncos,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Juncos,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Juncos,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Juncos,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Juncos,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Juncos,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Juncos,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Juncos,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Lajas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Lajas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Lajas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Lajas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Lajas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Lajas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Lajas,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Lares,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Lares,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Lares,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Lares,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Lares,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Lares,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Lares,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Lares,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Las Marias,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Las Marias,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Las Marias,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Las Marias,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Las Marias,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Las Marias,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Marias,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Piedras,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Las Piedras,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Piedras,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Piedras,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Piedras,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Las Piedras,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Las Piedras,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Las Piedras,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Piedras,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Piedras,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Las Piedras,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Loiza,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Loiza,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Loiza,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Loiza,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Loiza,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Loiza,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Loiza,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Loiza,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Loiza,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Loiza,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Loiza,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Loiza,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Loiza,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Luquillo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Luquillo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Luquillo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Luquillo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Luquillo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Luquillo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Luquillo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Luquillo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Luquillo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Luquillo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Luquillo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Luquillo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Luquillo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Manati,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Manati,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Manati,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Manati,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Manati,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Manati,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Manati,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Manati,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Maricao,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Maricao,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Maricao,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Maricao,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Maricao,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Maricao,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Maricao,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Maunabo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Maunabo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Maunabo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Maunabo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Maunabo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Maunabo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Maunabo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Maunabo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Maunabo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Maunabo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Maunabo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Maunabo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Maunabo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Mayaguez,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Mayaguez,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Mayaguez,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Mayaguez,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Mayaguez,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Moca,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Moca,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Moca,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Moca,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Moca,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Moca,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Moca,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Moca,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Moca,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Morovis,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Morovis,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Morovis,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Morovis,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Morovis,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Morovis,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Morovis,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Naguabo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Naguabo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Naguabo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Naguabo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Naguabo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Naguabo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Naguabo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Naguabo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Naguabo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Naguabo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Naguabo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Naguabo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Naguabo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Naranjito,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Naranjito,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Naranjito,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Naranjito,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Naranjito,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Naranjito,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Naranjito,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Naranjito,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Naranjito,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Naranjito,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Naranjito,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Naranjito,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Naranjito,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Orocovis,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Orocovis,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Orocovis,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Orocovis,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Orocovis,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Orocovis,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Orocovis,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Orocovis,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Orocovis,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Orocovis,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Orocovis,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Orocovis,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Orocovis,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Patillas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Patillas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Patillas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Patillas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Patillas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Patillas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Patillas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Patillas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Patillas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Patillas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Patillas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Patillas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Patillas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Penuelas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Penuelas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Penuelas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Penuelas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Penuelas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Penuelas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Penuelas,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Ponce,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Ponce,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Ponce,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Ponce,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Ponce,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Ponce,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Ponce,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Quebradillas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Quebradillas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Quebradillas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Quebradillas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Quebradillas,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Rincon,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Rincon,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Rincon,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Rincon,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Rincon,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Rincon,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Rincon,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Rincon,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Rio Grande,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Rio Grande,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Rio Grande,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Rio Grande,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Rio Grande,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Rio Grande,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Rio Grande,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Rio Grande,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Rio Grande,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Rio Grande,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Rio Grande,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Sabana Grande,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Sabana Grande,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Sabana Grande,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Salinas,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Salinas,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Salinas,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Salinas,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Salinas,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Salinas,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Salinas,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Salinas,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Salinas,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Salinas,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Salinas,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Salinas,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Salinas,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,San German,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,San German,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,San German,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,San German,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,San German,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,San German,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,San German,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,San German,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,San Juan,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,San Juan,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,San Juan,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,San Juan,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,San Juan,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,San Juan,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,San Juan,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,San Juan,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,San Juan,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,San Juan,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,San Juan,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,San Juan,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,San Juan,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,San Lorenzo,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,San Lorenzo,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,San Lorenzo,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,San Lorenzo,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,San Lorenzo,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,San Sebastian,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,San Sebastian,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,San Sebastian,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,San Sebastian,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,San Sebastian,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Santa Isabel,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Santa Isabel,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Santa Isabel,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Santa Isabel,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Santa Isabel,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Alta,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Toa Alta,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Alta,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Alta,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Alta,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Toa Alta,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Toa Alta,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Toa Alta,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Alta,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Alta,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Alta,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Baja,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Toa Baja,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Baja,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Baja,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Baja,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Toa Baja,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Toa Baja,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Toa Baja,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Baja,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Baja,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Toa Baja,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Trujillo Alto,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Trujillo Alto,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Trujillo Alto,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Utuado,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Utuado,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Utuado,Medicare y Mucho Mas,MMM Dorado Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,058,0,4.0,,,,,,,,,,,,
Puerto Rico,Utuado,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Utuado,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,1,5.0,,,,,,,,,,,,
Puerto Rico,Utuado,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Utuado,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Utuado,Triple S Advantage,Platino Selecto (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,040,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Vega Alta,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Vega Alta,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Vega Alta,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Vega Alta,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Alta,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Vega Baja,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Vega Baja,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Vega Baja,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Vega Baja,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Vega Baja,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Vieques,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Vieques,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Vieques,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Vieques,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Vieques,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Vieques,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Vieques,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Vieques,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Vieques,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Vieques,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Vieques,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Vieques,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Vieques,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Villalba,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Villalba,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Villalba,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Villalba,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,MCS Classicare,MCS Classicare Platino Del Sur (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,055,0,5.0,,,,,,,,,,,,
Puerto Rico,Villalba,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Villalba,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Villalba,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Puerto Rico,Yabucoa,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Yabucoa,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Yabucoa,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Yabucoa,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Yabucoa,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Yabucoa,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,3,5.0,,,,,,,,,,,,
Puerto Rico,Yabucoa,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Yabucoa,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Yabucoa,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Yabucoa,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Yabucoa,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,Medicare y Mucho Mas,MMM Supremo (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4003,009,0,4.0,,,,,,,,,,,,*
Puerto Rico,Yauco,Medicare y Mucho Mas,MMM Diamante Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,017,0,4.0,,,,,,,,,,,,
Puerto Rico,Yauco,Medicare y Mucho Mas,MMM Valor Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4003,049,0,4.0,,,,,,,,,,,,
Puerto Rico,Yauco,PMC Medicare Choice,PMC Premier Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,048,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,PMC Medicare Choice,MMM Relax Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,062,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,PMC Medicare Choice,MMM Plus Platino (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4004,067,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,Humana,Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,016,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,Humana,Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,018,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,Humana,Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,019,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,Humana,Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,026,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,Humana,Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,027,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,Humana,Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H4007,030,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,MCS Classicare,MCS Classicare Platino Ideal (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,002,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,MCS Classicare,MCS Classicare Platino Progreso (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,017,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,MCS Classicare,MCS Classicare Platino MasCa$h (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,029,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,MCS Classicare,MCS Classicare Primero (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5577,038,0,5.0,,,,,,,,,,,,*
Puerto Rico,Yauco,MCS Classicare,MCS Classicare Platino Total (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,046,0,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,MCS Classicare,MCS Classicare Platino Maximo (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,DS,$0.00 ,$545.00 ,No,H5577,054,2,5.0,,,,,,,,,,,,
Puerto Rico,Yauco,Triple S Advantage,Contigo Plus (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5774,022,0,4.5,,,,,,,,,,,,*
Puerto Rico,Yauco,Triple S Advantage,Platino Plus (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,024,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,Triple S Advantage,Platino Advance (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,026,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,Triple S Advantage,Platino Blindao (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,028,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,Triple S Advantage,Platino Enlace (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,035,0,4.5,,,,,,,,,,,,
Puerto Rico,Yauco,Triple S Advantage,Platino Titan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,Yes,Basic,AE,$0.00 ,$545.00 ,No,H5774,036,0,4.5,,,,,,,,,,,,
Rhode Island,Bristol,UnitedHealthcare,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,035,0,5.0,,,,,,,,,,,,
Rhode Island,Bristol,UnitedHealthcare,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0764,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Bristol,CCA Health Rhode Island,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$43.50 ,$545.00 ,No,H0876,001,0,Not enough data available,,,,,,,,,,,,
Rhode Island,Bristol,UnitedHealthcare,UHC Dual Complete RI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2272,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Bristol,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Rhode Island,Bristol,UnitedHealthcare,UHC Dual Complete RI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.60 ,$545.00 ,No,H3113,010,0,3.5,,,,,,,,,,,,
Rhode Island,Bristol,Blue Cross & Blue Shield of Rhode Island,BlueRI for Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4152,021,0,4.5,,,,,,,,,,,,
Rhode Island,Bristol,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H4699,003,0,2.5,,,,,,,,,,,,
Rhode Island,Bristol,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4699,005,0,2.5,,,,,,,,,,,,
Rhode Island,Kent,UnitedHealthcare,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,035,0,5.0,,,,,,,,,,,,
Rhode Island,Kent,UnitedHealthcare,UHC Care Advantage RI-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,No,H0710,050,0,5.0,,,,,,,,,,,,
Rhode Island,Kent,UnitedHealthcare,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0764,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Kent,CCA Health Rhode Island,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$43.50 ,$545.00 ,No,H0876,001,0,Not enough data available,,,,,,,,,,,,
Rhode Island,Kent,UnitedHealthcare,UHC Dual Complete RI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2272,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Kent,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Rhode Island,Kent,UnitedHealthcare,UHC Dual Complete RI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.60 ,$545.00 ,No,H3113,010,0,3.5,,,,,,,,,,,,
Rhode Island,Kent,Blue Cross & Blue Shield of Rhode Island,BlueRI for Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4152,021,0,4.5,,,,,,,,,,,,
Rhode Island,Kent,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H4699,003,0,2.5,,,,,,,,,,,,
Rhode Island,Kent,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4699,005,0,2.5,,,,,,,,,,,,
Rhode Island,Newport,UnitedHealthcare,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,035,0,5.0,,,,,,,,,,,,
Rhode Island,Newport,UnitedHealthcare,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0764,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Newport,CCA Health Rhode Island,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$43.50 ,$545.00 ,No,H0876,001,0,Not enough data available,,,,,,,,,,,,
Rhode Island,Newport,UnitedHealthcare,UHC Dual Complete RI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2272,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Newport,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Rhode Island,Newport,UnitedHealthcare,UHC Dual Complete RI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.60 ,$545.00 ,No,H3113,010,0,3.5,,,,,,,,,,,,
Rhode Island,Newport,Blue Cross & Blue Shield of Rhode Island,BlueRI for Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4152,021,0,4.5,,,,,,,,,,,,
Rhode Island,Newport,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H4699,003,0,2.5,,,,,,,,,,,,
Rhode Island,Newport,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4699,005,0,2.5,,,,,,,,,,,,
Rhode Island,Providence,UnitedHealthcare,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,035,0,5.0,,,,,,,,,,,,
Rhode Island,Providence,UnitedHealthcare,UHC Care Advantage RI-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,No,H0710,050,0,5.0,,,,,,,,,,,,
Rhode Island,Providence,UnitedHealthcare,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0764,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Providence,CCA Health Rhode Island,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$43.50 ,$545.00 ,No,H0876,001,0,Not enough data available,,,,,,,,,,,,
Rhode Island,Providence,UnitedHealthcare,UHC Dual Complete RI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2272,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Providence,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Rhode Island,Providence,UnitedHealthcare,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$33.00 ,$200.00 ,No,H2406,049,0,4.0,,,,,,,,,,,,
Rhode Island,Providence,UnitedHealthcare,UHC Dual Complete RI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.60 ,$545.00 ,No,H3113,010,0,3.5,,,,,,,,,,,,
Rhode Island,Providence,Blue Cross & Blue Shield of Rhode Island,BlueRI for Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4152,021,0,4.5,,,,,,,,,,,,
Rhode Island,Providence,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H4699,003,0,2.5,,,,,,,,,,,,
Rhode Island,Providence,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4699,005,0,2.5,,,,,,,,,,,,
Rhode Island,Washington,UnitedHealthcare,UHC Nursing Home Plan RI-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,035,0,5.0,,,,,,,,,,,,
Rhode Island,Washington,UnitedHealthcare,UHC Care Advantage RI-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$43.50 ,$0.00 ,No,H0710,050,0,5.0,,,,,,,,,,,,
Rhode Island,Washington,UnitedHealthcare,UHC Dual Complete RI-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H0764,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Washington,CCA Health Rhode Island,CCA Medicare Maximum (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$43.50 ,$545.00 ,No,H0876,001,0,Not enough data available,,,,,,,,,,,,
Rhode Island,Washington,UnitedHealthcare,UHC Dual Complete RI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$43.50 ,$545.00 ,No,H2272,001,0,Plan too new to be measured,,,,,,,,,,,,
Rhode Island,Washington,UnitedHealthcare,UHC Nursing Home Plan EX-F005 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$20.00 ,$545.00 ,No,H2406,031,0,4.0,,,,,,,,,,,,
Rhode Island,Washington,UnitedHealthcare,UHC Care Advantage RI-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$33.00 ,$200.00 ,No,H2406,049,0,4.0,,,,,,,,,,,,
Rhode Island,Washington,UnitedHealthcare,UHC Dual Complete RI-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.60 ,$545.00 ,No,H3113,010,0,3.5,,,,,,,,,,,,
Rhode Island,Washington,Blue Cross & Blue Shield of Rhode Island,BlueRI for Duals (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H4152,021,0,4.5,,,,,,,,,,,,
Rhode Island,Washington,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$32.00 ,$545.00 ,No,H4699,003,0,2.5,,,,,,,,,,,,
Rhode Island,Washington,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.50 ,$545.00 ,No,H4699,005,0,2.5,,,,,,,,,,,,
South Carolina,Abbeville,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Abbeville,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Abbeville,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Abbeville,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Abbeville,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Abbeville,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Abbeville,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Abbeville,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Abbeville,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Abbeville,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Abbeville,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Abbeville,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Abbeville,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Abbeville,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Abbeville,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Abbeville,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Aiken,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Aiken,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Aiken,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Aiken,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Aiken,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Aiken,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Aiken,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Aiken,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Aiken,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Aiken,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Aiken,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Aiken,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Aiken,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Aiken,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Aiken,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Aiken,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Aiken,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Aiken,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Allendale,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Allendale,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Allendale,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Allendale,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Allendale,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Allendale,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Allendale,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Allendale,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Allendale,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Allendale,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Allendale,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Allendale,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Allendale,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Allendale,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Allendale,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Anderson,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Anderson,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Anderson,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Anderson,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Anderson,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Anderson,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Anderson,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Anderson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Anderson,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Anderson,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Anderson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Anderson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Anderson,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Anderson,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Anderson,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Anderson,Humana,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.80 ,$545.00 ,No,H5619,153,0,4.0,,,,,,,,,,,,
South Carolina,Anderson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Anderson,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Anderson,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Anderson,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Anderson,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Bamberg,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Bamberg,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Bamberg,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Bamberg,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Bamberg,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Bamberg,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Bamberg,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Bamberg,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Bamberg,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Bamberg,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Bamberg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Bamberg,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Bamberg,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Bamberg,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Bamberg,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Bamberg,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Barnwell,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Barnwell,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Barnwell,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Barnwell,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Barnwell,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Barnwell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Barnwell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Barnwell,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Barnwell,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Barnwell,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Barnwell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Barnwell,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Barnwell,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Barnwell,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Barnwell,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Barnwell,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Beaufort,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Beaufort,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Beaufort,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Beaufort,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Beaufort,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Beaufort,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Beaufort,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Beaufort,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Beaufort,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Beaufort,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Beaufort,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Beaufort,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Beaufort,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Beaufort,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Beaufort,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Beaufort,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Beaufort,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Beaufort,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Beaufort,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Beaufort,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Beaufort,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Berkeley,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Berkeley,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Berkeley,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Berkeley,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Berkeley,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Berkeley,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Berkeley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Berkeley,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Berkeley,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Berkeley,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Berkeley,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Berkeley,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Berkeley,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Berkeley,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Berkeley,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Berkeley,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Calhoun,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Calhoun,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Calhoun,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Calhoun,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Calhoun,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Calhoun,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Calhoun,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Calhoun,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Calhoun,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Calhoun,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Calhoun,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Calhoun,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Calhoun,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Calhoun,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Calhoun,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Charleston,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Charleston,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Charleston,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Charleston,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Charleston,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Charleston,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Charleston,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Charleston,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Charleston,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Charleston,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Charleston,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Charleston,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Charleston,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Charleston,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Charleston,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Charleston,Humana,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.80 ,$545.00 ,No,H5619,153,0,4.0,,,,,,,,,,,,
South Carolina,Charleston,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Charleston,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Charleston,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Charleston,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Charleston,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Cherokee,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Cherokee,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Cherokee,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Cherokee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Cherokee,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Cherokee,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Cherokee,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Cherokee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Cherokee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Cherokee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Cherokee,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Cherokee,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Cherokee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Cherokee,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Cherokee,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Cherokee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Cherokee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Chester,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Chester,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Chester,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Chester,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Chester,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Chester,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Chester,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Chester,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Chester,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Chester,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Chester,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Chester,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Chester,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Chester,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Chester,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Chester,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Chester,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Chesterfield,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Chesterfield,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Chesterfield,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Chesterfield,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Chesterfield,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Chesterfield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Chesterfield,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Chesterfield,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Chesterfield,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Chesterfield,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Chesterfield,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Chesterfield,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Chesterfield,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Chesterfield,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Chesterfield,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Clarendon,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Clarendon,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Clarendon,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Clarendon,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Clarendon,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Clarendon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Clarendon,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Clarendon,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Clarendon,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Clarendon,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Clarendon,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Clarendon,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Clarendon,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Clarendon,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Clarendon,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Colleton,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Colleton,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Colleton,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Colleton,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Colleton,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Colleton,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Colleton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Colleton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Colleton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Colleton,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Colleton,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Colleton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Colleton,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Colleton,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Colleton,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Colleton,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Colleton,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Colleton,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Colleton,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Darlington,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Darlington,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Darlington,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Darlington,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Darlington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Darlington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Darlington,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Darlington,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Darlington,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Darlington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Darlington,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Darlington,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Darlington,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Darlington,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Dillon,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Dillon,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Dillon,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Dillon,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Dillon,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Dillon,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Dillon,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Dillon,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Dillon,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Dillon,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Dillon,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Dillon,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Dillon,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Dillon,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Dillon,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Dillon,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Dillon,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Dorchester,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Dorchester,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Dorchester,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Dorchester,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Dorchester,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Dorchester,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Dorchester,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Dorchester,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Dorchester,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Dorchester,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Dorchester,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Dorchester,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Dorchester,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Dorchester,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Dorchester,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Edgefield,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Edgefield,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Edgefield,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Edgefield,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Edgefield,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Edgefield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Edgefield,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Edgefield,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Edgefield,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Edgefield,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Edgefield,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Edgefield,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Edgefield,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Edgefield,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Edgefield,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Fairfield,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Fairfield,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Fairfield,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Fairfield,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Fairfield,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Fairfield,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Fairfield,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Fairfield,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Fairfield,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Fairfield,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Fairfield,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Fairfield,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Fairfield,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Fairfield,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Fairfield,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Fairfield,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Fairfield,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Fairfield,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Fairfield,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Florence,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Florence,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Florence,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Florence,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Florence,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Florence,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Florence,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Florence,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Florence,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Florence,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Florence,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Florence,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Florence,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Florence,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Florence,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Florence,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Georgetown,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Georgetown,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Georgetown,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Georgetown,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Georgetown,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Georgetown,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Georgetown,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Georgetown,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Georgetown,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Georgetown,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Georgetown,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Georgetown,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Georgetown,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Georgetown,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Georgetown,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Greenville,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Greenville,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Greenville,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Greenville,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Greenville,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Greenville,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Greenville,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Greenville,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Greenville,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Greenville,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Greenville,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Greenville,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Greenville,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Greenville,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Greenville,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Greenville,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Greenville,Humana,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.80 ,$545.00 ,No,H5619,153,0,4.0,,,,,,,,,,,,
South Carolina,Greenville,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Greenville,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Greenville,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Greenville,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Greenville,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Greenville,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Greenville,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Greenwood,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Greenwood,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Greenwood,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Greenwood,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Greenwood,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Greenwood,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Greenwood,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Greenwood,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Greenwood,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Greenwood,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Greenwood,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Greenwood,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Greenwood,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Greenwood,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Greenwood,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Greenwood,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Greenwood,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Greenwood,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Hampton,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Hampton,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Hampton,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Hampton,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Hampton,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Hampton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Hampton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Hampton,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Hampton,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Hampton,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Hampton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Hampton,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Hampton,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Hampton,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Hampton,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Hampton,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Hampton,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Hampton,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Horry,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Horry,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Horry,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Horry,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Horry,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Horry,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Horry,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Horry,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Horry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Horry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Horry,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Horry,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Horry,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Horry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Horry,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Horry,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Horry,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Horry,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Horry,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Jasper,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Jasper,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Jasper,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Jasper,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Jasper,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Jasper,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Jasper,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Jasper,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Jasper,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Jasper,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Jasper,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Jasper,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Jasper,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Jasper,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Jasper,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Jasper,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Jasper,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Kershaw,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Kershaw,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Kershaw,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Kershaw,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Kershaw,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Kershaw,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Kershaw,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Kershaw,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Kershaw,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Kershaw,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Kershaw,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Kershaw,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Kershaw,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Kershaw,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Kershaw,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Lancaster,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Lancaster,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Lancaster,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Lancaster,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Lancaster,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Lancaster,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Lancaster,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Lancaster,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Lancaster,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Lancaster,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Lancaster,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Lancaster,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Lancaster,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Lancaster,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Laurens,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Laurens,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Laurens,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Laurens,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Laurens,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Laurens,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Laurens,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Laurens,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Laurens,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Laurens,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Laurens,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Laurens,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Laurens,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Laurens,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Laurens,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Laurens,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Laurens,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Lee,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Lee,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Lee,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Lee,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Lee,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Lee,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Lee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Lee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Lee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Lee,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Lee,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Lee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Lee,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Lee,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Lee,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Lee,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Lee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Lee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Lexington,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Lexington,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Lexington,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Lexington,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Lexington,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Lexington,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Lexington,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Lexington,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Lexington,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Lexington,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Lexington,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Lexington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Lexington,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Lexington,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Lexington,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Lexington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Lexington,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Lexington,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Lexington,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Lexington,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Marion,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Marion,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Marion,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Marion,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Marion,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Marion,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Marion,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Marion,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Marion,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Marion,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Marion,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Marion,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Marion,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Marion,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Marion,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Marion,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Marlboro,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Marlboro,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Marlboro,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Marlboro,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Marlboro,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Marlboro,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Marlboro,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Marlboro,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Marlboro,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Marlboro,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Marlboro,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Marlboro,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Marlboro,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Marlboro,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Marlboro,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Marlboro,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,McCormick,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,McCormick,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,McCormick,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,McCormick,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,McCormick,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,McCormick,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,McCormick,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,McCormick,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,McCormick,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,McCormick,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,McCormick,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,McCormick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,McCormick,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,McCormick,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,McCormick,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,McCormick,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Newberry,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Newberry,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Newberry,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Newberry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Newberry,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Newberry,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Newberry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Newberry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Newberry,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Newberry,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Newberry,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Newberry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Newberry,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Newberry,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Newberry,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Newberry,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Oconee,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Oconee,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Oconee,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Oconee,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Oconee,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Oconee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Oconee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Oconee,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Oconee,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Oconee,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Oconee,Humana,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.80 ,$545.00 ,No,H5619,153,0,4.0,,,,,,,,,,,,
South Carolina,Oconee,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Oconee,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Oconee,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Oconee,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Orangeburg,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Orangeburg,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Orangeburg,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Orangeburg,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Orangeburg,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Orangeburg,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Orangeburg,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Orangeburg,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Orangeburg,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Orangeburg,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Orangeburg,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Orangeburg,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Orangeburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Orangeburg,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Orangeburg,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Orangeburg,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Orangeburg,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Orangeburg,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Pickens,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Pickens,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Pickens,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Pickens,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Pickens,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Pickens,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Pickens,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Pickens,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Pickens,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Pickens,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Pickens,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Pickens,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Pickens,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Pickens,Humana,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.80 ,$545.00 ,No,H5619,153,0,4.0,,,,,,,,,,,,
South Carolina,Pickens,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Pickens,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Pickens,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Pickens,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Pickens,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Pickens,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Richland,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Richland,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Richland,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Richland,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Richland,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Richland,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Richland,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Richland,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Richland,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Richland,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Richland,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Richland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Richland,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Richland,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Richland,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Richland,Humana,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.80 ,$545.00 ,No,H5619,153,0,4.0,,,,,,,,,,,,
South Carolina,Richland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Richland,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,Richland,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Richland,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Richland,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Richland,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Saluda,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Saluda,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Saluda,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Saluda,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Saluda,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Saluda,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Saluda,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Saluda,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Saluda,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Saluda,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Saluda,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Saluda,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Saluda,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Saluda,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Saluda,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Saluda,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Saluda,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Saluda,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Spartanburg,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Spartanburg,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Spartanburg,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Spartanburg,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,Spartanburg,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Spartanburg,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Spartanburg,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Spartanburg,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Spartanburg,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Spartanburg,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Spartanburg,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Spartanburg,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Spartanburg,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Spartanburg,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Spartanburg,Humana,Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.80 ,$545.00 ,No,H5619,153,0,4.0,,,,,,,,,,,,
South Carolina,Spartanburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Spartanburg,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Spartanburg,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Spartanburg,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Spartanburg,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Spartanburg,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Spartanburg,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Sumter,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Sumter,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Sumter,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Sumter,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,Sumter,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Sumter,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,Sumter,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
South Carolina,Sumter,NHC Advantage,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H4172,003,0,5.0,,,,,,,,,,,,
South Carolina,Sumter,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Sumter,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Sumter,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Sumter,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Sumter,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Sumter,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Sumter,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Sumter,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Sumter,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Sumter,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Sumter,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Union,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Union,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Union,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Union,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H1416,036,0,3.0,,,,,,,,,,,,
South Carolina,Union,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,Union,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Union,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Union,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Union,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Union,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Union,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Union,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Union,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Union,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Union,Clear Spring Health,Clear Spring Health Deluxe Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.90 ,$545.00 ,No,H9403,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Union,Clear Spring Health,Clear Spring Health Silver Plan (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H9403,003,0,Not enough data available,,,,,,,,,,,,*
South Carolina,Union,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Union,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,Williamsburg,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,Williamsburg,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,Williamsburg,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,Williamsburg,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.80 ,$545.00 ,No,H3146,017,0,4.0,,,,,,,,,,,,
South Carolina,Williamsburg,First Choice VIP Care (HMO-D-SNP),First Choice VIP Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4739,001,0,Not enough data available,,,,,,,,,,,,
South Carolina,Williamsburg,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,Williamsburg,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,Williamsburg,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,Williamsburg,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,Williamsburg,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,Williamsburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,Williamsburg,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,Williamsburg,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,Williamsburg,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,Williamsburg,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Carolina,York,UnitedHealthcare,UHC Dual Complete SC-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,016,0,4.0,,,,,,,,,,,,
South Carolina,York,UnitedHealthcare,UHC Dual Complete SC-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H0271,056,0,4.0,,,,,,,,,,,,
South Carolina,York,UnitedHealthcare,UHC Complete Care SC-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0271,057,0,4.0,,,,,,,,,,,,*
South Carolina,York,UnitedHealthcare,UHC Nursing Home Plan SC-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$34.60 ,$545.00 ,No,H0710,053,0,5.0,,,,,,,,,,,,
South Carolina,York,UnitedHealthcare,UHC Care Advantage SC-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$45.70 ,$0.00 ,No,H0710,068,0,5.0,,,,,,,,,,,,
South Carolina,York,Aetna Medicare,Aetna Medicare Assure Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H3146,016,0,4.0,,,,,,,,,,,,
South Carolina,York,Aetna Medicare,Aetna Medicare Assure Flex Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.30 ,$545.00 ,No,H3146,019,0,4.0,,,,,,,,,,,,
South Carolina,York,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H4847,004,0,3.0,,,,,,,,,,,,
South Carolina,York,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$16.40 ,$545.00 ,No,H5216,243,0,4.5,,,,,,,,,,,,
South Carolina,York,Humana,HumanaChoice - Diabetes and Heart (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5216,244,0,4.5,,,,,,,,,,*,,
South Carolina,York,Humana,HumanaChoice SNP-DE H5216-277 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$45.70 ,$545.00 ,No,H5216,277,0,4.5,,,,,,,,,,,,
South Carolina,York,Humana,Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.80 ,$545.00 ,No,H5619,082,0,4.0,,,,,,,,,,,,
South Carolina,York,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H5619,161,0,4.0,,,,,,,,,,*,,
South Carolina,York,PruittHealth Premier,PruittHealth Premier (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$45.70 ,$545.00 ,No,H6345,002,0,Not enough data available,,,,,,,,,,,,
South Carolina,York,Wellcare,Wellcare Dual Liberty Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$25.40 ,$545.00 ,No,H7326,006,0,3.5,,,,,,,,,,,,
South Carolina,York,Molina Healthcare of South Carolina,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.00 ,$545.00 ,No,H8176,001,0,3.5,,,,,,,,,,,,
South Carolina,York,UnitedHealthcare,UHC Complete Care GS-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$20.70 ,$545.00 ,No,R2604,002,0,4.0,,,,,,,,,,,,*
South Carolina,York,UnitedHealthcare,UHC Complete Care GS-0002 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$28.00 ,$0.00 ,Yes,R2604,003,0,4.0,,,,,,,,,,,,*
South Dakota,Aurora,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Aurora,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Aurora,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Beadle,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Beadle,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Bon Homme,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Bon Homme,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Bon Homme,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Bon Homme,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Bon Homme,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Brookings,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Brookings,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Brookings,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Brown,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Brown,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Brule,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Butte,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Butte,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Campbell,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Campbell,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Campbell,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Charles Mix,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Charles Mix,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Charles Mix,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Charles Mix,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Charles Mix,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Clark,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Clark,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Clark,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Clay,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Clay,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Clay,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Codington,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Corson,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Corson,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Custer,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Custer,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Custer,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Custer,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Davison,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Davison,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Davison,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Day,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Day,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Day,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Day,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Day,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Deuel,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Deuel,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Deuel,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Deuel,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Deuel,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Dewey,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Douglas,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Douglas,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Douglas,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Douglas,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Douglas,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Edmunds,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Fall River,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Fall River,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Faulk,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Gregory,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Gregory,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Haakon,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Haakon,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Hamlin,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Hand,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Hand,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Hand,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Hanson,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Hanson,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Hanson,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Harding,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Harding,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Hutchinson,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Hutchinson,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Hutchinson,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Hyde,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Jackson,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Jackson,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Jerauld,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Jerauld,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Kingsbury,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Kingsbury,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Kingsbury,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Kingsbury,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Kingsbury,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Lake,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Lake,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Lake,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Lawrence,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Lawrence,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Lincoln,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Lincoln,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Lincoln,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Lincoln,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Lincoln,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Marshall,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Marshall,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Marshall,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,McCook,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,McCook,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,McCook,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,McCook,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,McCook,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,McPherson,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Meade,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Meade,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Meade,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Meade,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Miner,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Miner,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Miner,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Miner,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Miner,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Minnehaha,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Minnehaha,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Minnehaha,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Minnehaha,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Minnehaha,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Moody,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Moody,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Moody,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Pennington,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Pennington,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Pennington,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Pennington,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Perkins,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Perkins,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Potter,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Roberts,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Roberts,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Sanborn,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Sanborn,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Sanborn,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Spink,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Tripp,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Tripp,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Turner,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Turner,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Turner,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Turner,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Turner,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Union,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Union,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Union,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Union,Great Plains Medicare Advantage,Great Plains Medicare Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$23.90 ,$545.00 ,No,H1787,001,0,Not enough data available,,,,,,,,,,,,
South Dakota,Union,Great Plains Medicare Advantage,Great Plain Medicare Advantage Gold (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$65.00 ,$0.00 ,No,H1787,002,0,Not enough data available,,,,,,,,,,,,
South Dakota,Walworth,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Walworth,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Walworth,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Yankton,Humana,Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0028,058,0,4.0,,,,,,,,,,,,
South Dakota,Yankton,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
South Dakota,Yankton,Aetna Medicare,Aetna Medicare Assure Premier (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H1608,062,0,4.0,,,,,,,,,,,,
South Dakota,Ziebach,UnitedHealthcare,UHC Dual Complete SD-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,037,0,4.0,,,,,,,,,,,,
Tennessee,Anderson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Anderson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Anderson,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Anderson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Anderson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Anderson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Anderson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Anderson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Anderson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Anderson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Anderson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Anderson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Anderson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Anderson,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Bedford,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Bedford,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Bedford,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Bedford,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Bedford,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Bedford,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Bedford,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Bedford,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Bedford,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Bedford,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Bedford,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Bedford,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Bedford,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Benton,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Benton,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Benton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Benton,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Benton,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Benton,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Benton,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Benton,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Benton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Benton,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Benton,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Benton,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Benton,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Bledsoe,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Bledsoe,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Bledsoe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Bledsoe,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Bledsoe,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Bledsoe,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Bledsoe,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Bledsoe,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Bledsoe,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Bledsoe,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Bledsoe,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Bledsoe,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Blount,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Blount,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Blount,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Blount,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Blount,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Blount,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Blount,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Blount,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Blount,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Blount,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Blount,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Blount,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Blount,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Bradley,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Bradley,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Bradley,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Bradley,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Bradley,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Bradley,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Bradley,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Bradley,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Bradley,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Bradley,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Bradley,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Bradley,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Bradley,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Campbell,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Campbell,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Campbell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Campbell,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Campbell,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Campbell,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Campbell,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Campbell,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Campbell,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Campbell,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Campbell,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Cannon,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Cannon,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Cannon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Cannon,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Cannon,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Cannon,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Cannon,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Cannon,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Cannon,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Cannon,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Cannon,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Cannon,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Cannon,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Carroll,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Carroll,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Carroll,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Carroll,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Carroll,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Carroll,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Carroll,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Carroll,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Carroll,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Carroll,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Carroll,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Carroll,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Carroll,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Carter,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Carter,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Carter,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Carter,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Carter,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Carter,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Carter,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Carter,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Carter,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Carter,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Carter,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Carter,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Carter,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Cheatham,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Cheatham,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Cheatham,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Cheatham,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Cheatham,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Cheatham,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Cheatham,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Cheatham,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Cheatham,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Cheatham,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Cheatham,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Cheatham,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Cheatham,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Cheatham,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Chester,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Chester,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Chester,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Chester,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Chester,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Chester,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Chester,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Chester,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Chester,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Chester,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Chester,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Chester,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Chester,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Claiborne,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Claiborne,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Claiborne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Claiborne,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Claiborne,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Claiborne,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Claiborne,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Claiborne,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Claiborne,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Claiborne,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Claiborne,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Clay,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Clay,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Clay,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Clay,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Clay,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Clay,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Clay,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Clay,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Clay,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Clay,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Clay,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Clay,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Clay,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Cocke,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Cocke,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Cocke,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Cocke,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Cocke,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Cocke,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Cocke,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Cocke,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Cocke,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Cocke,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Cocke,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Coffee,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Coffee,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Coffee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Coffee,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Coffee,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Coffee,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Coffee,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Coffee,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Coffee,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Coffee,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Coffee,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Coffee,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Coffee,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Crockett,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Crockett,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Crockett,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Crockett,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Crockett,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Crockett,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Crockett,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Crockett,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Crockett,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Crockett,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Crockett,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Crockett,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Crockett,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Cumberland,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Cumberland,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Cumberland,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Cumberland,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Cumberland,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Cumberland,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Cumberland,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Cumberland,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Cumberland,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Cumberland,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Cumberland,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Cumberland,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Cumberland,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Davidson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Davidson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Davidson,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Davidson,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Tennessee,Davidson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Davidson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Davidson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Davidson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Davidson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Davidson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Davidson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Davidson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Davidson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Davidson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Davidson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Davidson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Davidson,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Davidson,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,DeKalb,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,DeKalb,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,DeKalb,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,DeKalb,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,DeKalb,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,DeKalb,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,DeKalb,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,DeKalb,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,DeKalb,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,DeKalb,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,DeKalb,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,DeKalb,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,DeKalb,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Decatur,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Decatur,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Decatur,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Decatur,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Decatur,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Decatur,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Decatur,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Decatur,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Decatur,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Decatur,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Decatur,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Decatur,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Decatur,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Dickson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Dickson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Dickson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Dickson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Dickson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Dickson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Dickson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Dickson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Dickson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Dickson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Dickson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Dickson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Dickson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Dickson,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Dyer,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Dyer,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Dyer,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Dyer,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Dyer,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Dyer,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Dyer,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Dyer,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Dyer,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Dyer,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Dyer,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Dyer,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Fayette,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Fayette,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Fayette,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Fayette,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Fayette,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Fayette,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Fayette,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Fayette,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Fayette,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Fayette,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$27.40 ,$545.00 ,No,H4461,042,0,5.0,,,,,,,,,,,,*
Tennessee,Fayette,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Fayette,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Fayette,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Fayette,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Fayette,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Fayette,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Fentress,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Fentress,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Fentress,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Fentress,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Fentress,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Fentress,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Fentress,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Fentress,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Fentress,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Fentress,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Fentress,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Fentress,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Fentress,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Fentress,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Franklin,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Franklin,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Franklin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Franklin,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Franklin,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Franklin,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Franklin,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Franklin,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Franklin,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Franklin,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Franklin,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Gibson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Gibson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Gibson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Gibson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Gibson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Gibson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Gibson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Gibson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Gibson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Gibson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Gibson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Gibson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Gibson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Gibson,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Giles,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Giles,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Giles,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Giles,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Giles,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Giles,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Giles,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Giles,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Giles,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Giles,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Giles,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Giles,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Giles,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Giles,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Grainger,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Grainger,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Grainger,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Grainger,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Grainger,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Grainger,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Grainger,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Grainger,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Grainger,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Grainger,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Grainger,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Greene,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Greene,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Greene,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Greene,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Greene,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Greene,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Greene,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Greene,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Greene,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Greene,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Greene,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Greene,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Grundy,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Grundy,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Grundy,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Grundy,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Grundy,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Grundy,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Grundy,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Grundy,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Grundy,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Grundy,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Grundy,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Grundy,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Grundy,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hamblen,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Hamblen,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Hamblen,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Hamblen,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Hamblen,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Hamblen,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Hamblen,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Hamblen,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Hamblen,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Hamblen,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Hamblen,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hamilton,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Hamilton,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Hamilton,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Hamilton,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Tennessee,Hamilton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Hamilton,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Hamilton,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Hamilton,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Hamilton,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Hamilton,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Hamilton,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Hamilton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Hamilton,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Hamilton,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Hamilton,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hamilton,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Hancock,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Hancock,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Hancock,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Hancock,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Hancock,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Hancock,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Hancock,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Hancock,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Hancock,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Hancock,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Hancock,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hancock,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Hardeman,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Hardeman,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Hardeman,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Hardeman,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Hardeman,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Hardeman,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Hardeman,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Hardeman,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Hardeman,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$27.40 ,$545.00 ,No,H4461,042,0,5.0,,,,,,,,,,,,*
Tennessee,Hardeman,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Hardeman,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Hardeman,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Hardeman,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hardin,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Hardin,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Hardin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Hardin,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Hardin,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Hardin,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Hardin,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Hardin,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Hardin,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Hardin,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Hardin,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Hardin,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hardin,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Hawkins,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Hawkins,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Hawkins,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Hawkins,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Hawkins,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Hawkins,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Hawkins,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Hawkins,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Hawkins,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Hawkins,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Hawkins,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Hawkins,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hawkins,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Haywood,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Haywood,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Haywood,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Haywood,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Haywood,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Haywood,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Haywood,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Haywood,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Haywood,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$27.40 ,$545.00 ,No,H4461,042,0,5.0,,,,,,,,,,,,*
Tennessee,Haywood,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Haywood,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Haywood,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Haywood,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Haywood,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Henderson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Henderson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Henderson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Henderson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Henderson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Henderson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Henderson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Henderson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Henderson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Henderson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Henderson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Henderson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Henderson,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Henry,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Henry,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Henry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Henry,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Henry,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Henry,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Henry,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Henry,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Henry,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Henry,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Henry,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Henry,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Hickman,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Hickman,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Hickman,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Hickman,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Hickman,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Hickman,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Hickman,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Hickman,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Hickman,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Hickman,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Hickman,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Hickman,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Hickman,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Houston,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Houston,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Houston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Houston,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Houston,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Houston,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Houston,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Houston,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Houston,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Houston,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Houston,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Houston,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Houston,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Houston,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Humphreys,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Humphreys,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Humphreys,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Humphreys,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Humphreys,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Humphreys,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Humphreys,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Humphreys,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Humphreys,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Humphreys,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Humphreys,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Humphreys,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Humphreys,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Humphreys,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Jackson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Jackson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Jackson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Jackson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Jackson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Jackson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Jackson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Jackson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Jackson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Jackson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Jackson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Jackson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Jackson,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Jefferson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Jefferson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Jefferson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Jefferson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Jefferson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Jefferson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Jefferson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Jefferson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Jefferson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Jefferson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Jefferson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Johnson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Johnson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Johnson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Johnson,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Johnson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Johnson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Johnson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Johnson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Johnson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Johnson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Johnson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Johnson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Johnson,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Knox,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Knox,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Knox,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Knox,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Knox,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Knox,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Knox,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Knox,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Knox,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Knox,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Knox,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Knox,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Knox,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Knox,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Lake,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Lake,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Lake,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Lake,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Lake,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Lake,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Lake,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Lake,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Lake,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Lake,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Lake,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Lake,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Lauderdale,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Lauderdale,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Lauderdale,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Lauderdale,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Lauderdale,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Lauderdale,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Lauderdale,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Lauderdale,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Lauderdale,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$27.40 ,$545.00 ,No,H4461,042,0,5.0,,,,,,,,,,,,*
Tennessee,Lauderdale,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Lauderdale,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Lauderdale,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Lauderdale,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Lauderdale,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Lawrence,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Lawrence,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Lawrence,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Lawrence,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Lawrence,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Lawrence,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Lawrence,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Lawrence,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Lawrence,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Lawrence,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Lawrence,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Lawrence,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Lawrence,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Lewis,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Lewis,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Lewis,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Lewis,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Lewis,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Lewis,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Lewis,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Lewis,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Lewis,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Lewis,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Lewis,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Lewis,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Lewis,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Lincoln,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Lincoln,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Lincoln,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Lincoln,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Lincoln,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Lincoln,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Lincoln,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Lincoln,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Lincoln,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Lincoln,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Lincoln,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Lincoln,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Loudon,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Loudon,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Loudon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Loudon,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Loudon,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Loudon,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Loudon,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Loudon,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Loudon,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Loudon,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Loudon,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Loudon,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Macon,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Macon,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Macon,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Macon,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Macon,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Macon,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Macon,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Macon,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Macon,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Macon,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Macon,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Macon,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Macon,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Madison,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Madison,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Madison,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Madison,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Madison,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Madison,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Madison,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Madison,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Madison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$27.40 ,$545.00 ,No,H4461,042,0,5.0,,,,,,,,,,,,*
Tennessee,Madison,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Madison,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Madison,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Madison,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Madison,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Marion,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Marion,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Marion,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Marion,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Marion,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Marion,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Marion,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Marion,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Marion,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Marion,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Marion,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Marion,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Marion,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Marion,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Marshall,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Marshall,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Marshall,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Marshall,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Marshall,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Marshall,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Marshall,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Marshall,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Marshall,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Marshall,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Marshall,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Marshall,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Marshall,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Maury,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Maury,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Maury,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Maury,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Maury,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Maury,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Maury,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Maury,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Maury,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Maury,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Maury,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Maury,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Maury,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Maury,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,McMinn,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,McMinn,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,McMinn,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,McMinn,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,McMinn,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,McMinn,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,McMinn,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,McMinn,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,McMinn,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,McMinn,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,McMinn,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,McMinn,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,McNairy,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,McNairy,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,McNairy,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,McNairy,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,McNairy,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,McNairy,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,McNairy,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,McNairy,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,McNairy,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,McNairy,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,McNairy,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,McNairy,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,McNairy,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Meigs,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Meigs,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Meigs,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Meigs,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Meigs,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Meigs,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Meigs,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Meigs,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Meigs,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Meigs,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Meigs,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Meigs,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Monroe,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Monroe,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Monroe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Monroe,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Monroe,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Monroe,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Monroe,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Monroe,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Monroe,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Monroe,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Monroe,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Monroe,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Montgomery,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Montgomery,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Montgomery,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Montgomery,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Montgomery,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Montgomery,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Montgomery,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Montgomery,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Montgomery,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Montgomery,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Montgomery,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Montgomery,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Montgomery,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Montgomery,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Moore,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Moore,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Moore,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Moore,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Moore,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Moore,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Moore,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Moore,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Moore,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Moore,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Moore,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Moore,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Morgan,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Morgan,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Morgan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Morgan,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Morgan,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Morgan,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Morgan,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Morgan,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Morgan,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Morgan,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Morgan,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Obion,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Obion,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Obion,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Obion,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Obion,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Obion,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Obion,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Obion,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Obion,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Obion,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Obion,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Obion,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Overton,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Overton,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Overton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Overton,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Overton,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Overton,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Overton,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Overton,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Overton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Overton,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Overton,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Overton,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Perry,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Perry,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Perry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Perry,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Perry,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Perry,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Perry,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Perry,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Perry,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Perry,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Perry,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Perry,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Pickett,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Pickett,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Pickett,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Pickett,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Pickett,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Pickett,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Pickett,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Pickett,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Pickett,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Pickett,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Pickett,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Pickett,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Pickett,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Polk,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Polk,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Polk,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Polk,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Polk,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Polk,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Polk,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Polk,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Polk,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Polk,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Polk,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Polk,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Putnam,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Putnam,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Putnam,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Putnam,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Putnam,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Putnam,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Putnam,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Putnam,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Putnam,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Putnam,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Putnam,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Putnam,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Putnam,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Putnam,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Rhea,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Rhea,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Rhea,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Rhea,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Rhea,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Rhea,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Rhea,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Rhea,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Rhea,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Rhea,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Rhea,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Rhea,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Rhea,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Roane,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Roane,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Roane,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Roane,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Roane,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Roane,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Roane,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Roane,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Roane,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Roane,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Roane,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Roane,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Roane,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Robertson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Robertson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Robertson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Robertson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Robertson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Robertson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Robertson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Robertson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Robertson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Robertson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Robertson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Robertson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Robertson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Robertson,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Rutherford,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Rutherford,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Rutherford,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Rutherford,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Tennessee,Rutherford,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Rutherford,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Rutherford,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Rutherford,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Rutherford,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Rutherford,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Rutherford,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Rutherford,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Rutherford,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Rutherford,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Rutherford,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Rutherford,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Rutherford,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Scott,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Scott,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Scott,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Scott,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Scott,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Scott,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Scott,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Scott,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Scott,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Scott,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Scott,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Sequatchie,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Sequatchie,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Sequatchie,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Sequatchie,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Sequatchie,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Sequatchie,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Sequatchie,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Sequatchie,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Sequatchie,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Sequatchie,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Sequatchie,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Sequatchie,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Sequatchie,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Sevier,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Sevier,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Sevier,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Sevier,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Sevier,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Sevier,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Sevier,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Sevier,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Sevier,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Sevier,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Sevier,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Shelby,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Shelby,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Shelby,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Shelby,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Tennessee,Shelby,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Shelby,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Shelby,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Shelby,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Shelby,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Shelby,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Shelby,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Shelby,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$27.40 ,$545.00 ,No,H4461,042,0,5.0,,,,,,,,,,,,*
Tennessee,Shelby,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Shelby,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Shelby,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Shelby,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Shelby,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Shelby,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Smith,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Smith,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Smith,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Smith,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Smith,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Smith,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Smith,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Smith,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Smith,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Smith,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Smith,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Smith,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Smith,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Stewart,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Stewart,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Stewart,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Stewart,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Stewart,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Stewart,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Stewart,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Stewart,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Stewart,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Stewart,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Stewart,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Stewart,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Sullivan,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Sullivan,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Sullivan,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Sullivan,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Sullivan,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Sullivan,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Sullivan,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Sullivan,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Sullivan,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Sullivan,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Sullivan,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Sullivan,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Sullivan,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Sumner,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Sumner,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Sumner,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Sumner,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Tennessee,Sumner,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Sumner,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Sumner,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Sumner,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Sumner,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Sumner,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Sumner,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Sumner,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Sumner,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Sumner,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Sumner,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Sumner,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Sumner,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Sumner,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Tipton,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Tipton,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Tipton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Tipton,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Tipton,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Tipton,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Tipton,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Tipton,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Tipton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$27.40 ,$545.00 ,No,H4461,042,0,5.0,,,,,,,,,,,,*
Tennessee,Tipton,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Tipton,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Tipton,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Tipton,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Tipton,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Tipton,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Trousdale,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Trousdale,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Trousdale,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Trousdale,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Trousdale,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Trousdale,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Trousdale,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Trousdale,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Trousdale,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Trousdale,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Trousdale,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Trousdale,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Trousdale,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Unicoi,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Unicoi,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Unicoi,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Unicoi,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Unicoi,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Unicoi,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Unicoi,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Unicoi,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Unicoi,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Unicoi,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Unicoi,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Union,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Union,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Union,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Union,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Union,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Union,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Union,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Union,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Union,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Union,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Union,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Van Buren,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Van Buren,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Van Buren,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Van Buren,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Van Buren,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Van Buren,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Van Buren,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Van Buren,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Van Buren,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Van Buren,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Van Buren,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Van Buren,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Warren,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Warren,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Warren,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Warren,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Warren,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Warren,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Warren,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Warren,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Warren,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Warren,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Warren,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Warren,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Warren,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Warren,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Washington,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Washington,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Washington,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Washington,Signature Advantage (HMO SNP),Signature Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.20 ,$545.00 ,No,H2400,001,0,3.0,,,,,,,,,,,,
Tennessee,Washington,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Washington,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Washington,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Washington,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Washington,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Washington,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Washington,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Washington,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Washington,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Washington,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,Wayne,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Wayne,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Wayne,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Wayne,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Wayne,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Wayne,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Wayne,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Wayne,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Wayne,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Wayne,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Wayne,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Wayne,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Weakley,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Weakley,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Weakley,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Weakley,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Weakley,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Weakley,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Weakley,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Weakley,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Weakley,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Weakley,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Weakley,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Weakley,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Tennessee,White,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,White,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,White,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,White,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,White,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,White,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,White,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,White,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,White,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,White,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,White,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,White,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,White,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Williamson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Williamson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Williamson,UnitedHealthcare,UHC Nursing Home Plan EX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$32.10 ,$545.00 ,No,H0710,004,0,5.0,,,,,,,,,,,,
Tennessee,Williamson,UnitedHealthcare,UHC Care Advantage EX-E002 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.00 ,$0.00 ,No,H0710,070,0,5.0,,,,,,,,,,,,
Tennessee,Williamson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Williamson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Williamson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Williamson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Williamson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Williamson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Williamson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Williamson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Williamson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Williamson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Williamson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Williamson,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Wilson,UnitedHealthcare,UHC Dual Complete TN-S001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H0251,002,0,4.0,,,,,,,,,,,,
Tennessee,Wilson,UnitedHealthcare,UHC Dual Complete TN-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H0251,004,0,4.0,,,,,,,,,,,,
Tennessee,Wilson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$34.00 ,$545.00 ,No,H1416,035,0,3.0,,,,,,,,,,,,
Tennessee,Wilson,BlueCare Plus Tennessee,BlueCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$39.90 ,$545.00 ,No,H3259,001,0,4.0,,,,,,,,,,,,
Tennessee,Wilson,BlueCare Plus Tennessee,BlueCare Plus Choice (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$41.40 ,$545.00 ,No,H3259,002,0,4.0,,,,,,,,,,,,
Tennessee,Wilson,BlueCare Plus Tennessee,BlueCare Plus Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.40 ,$545.00 ,No,H3259,003,0,4.0,,,,,,,,,,,,
Tennessee,Wilson,NHC Advantage,NHC Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$42.50 ,$545.00 ,No,H4172,001,0,5.0,,,,,,,,,,,,
Tennessee,Wilson,Humana,Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,022,0,5.0,,,,,,,,,,,,
Tennessee,Wilson,Humana,Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$41.40 ,$545.00 ,No,H4461,038,0,5.0,,,,,,,,,,,,
Tennessee,Wilson,Cigna Healthcare,Cigna TotalCare Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.40 ,$545.00 ,No,H4513,034,0,4.0,,,,,,,,,,,,
Tennessee,Wilson,UnitedHealthcare,UHC Complete Care TC-0005 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5253,136,0,4.5,,,,,,,,,,,,*
Tennessee,Wilson,Wellpoint,Wellpoint Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.80 ,$545.00 ,No,H5828,001,0,3.5,,,,,,,,,,,,
Tennessee,Wilson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$37.20 ,$545.00 ,No,H5828,002,0,3.5,,,,,,,,,,,,
Tennessee,Wilson,Devoted Health,Devoted BE WELL PLUS Tennessee (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$27.80 ,$545.00 ,No,H7605,006,0,Plan too new to be measured,,,,*,,,,,,,,
Tennessee,Wilson,American Health Advantage of Tennessee,American Health Advantage of Tennessee (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$41.40 ,$545.00 ,No,H7779,001,0,Not enough data available,,,,,,,,,,,,
Texas,Anderson,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Anderson,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Anderson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Anderson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Anderson,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Anderson,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Anderson,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Anderson,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Anderson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Anderson,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Anderson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Anderson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Anderson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Anderson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Andrews,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Andrews,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Andrews,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Andrews,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Andrews,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Andrews,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Andrews,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Angelina,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Angelina,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Angelina,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Angelina,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Angelina,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Angelina,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Angelina,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Angelina,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Angelina,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Angelina,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Angelina,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Angelina,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Aransas,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Aransas,UnitedHealthcare,UHC Dual Complete TX-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.00 ,$545.00 ,No,H0609,057,0,4.5,,,,,,,,,,,,
Texas,Aransas,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Aransas,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$12.50 ,$545.00 ,No,H4513,075,0,4.0,,,,,,,,,,,,
Texas,Aransas,UnitedHealthcare,UHC Dual Complete TX-V003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$19.80 ,$545.00 ,No,H4527,004,0,4.5,,,,,,,,,,,,
Texas,Aransas,UnitedHealthcare,UHC Complete Care TX-0018 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,041,0,4.5,,,,,,,,,,,,*
Texas,Aransas,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Aransas,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Aransas,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Aransas,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Aransas,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Aransas,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Aransas,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Aransas,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Archer,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Archer,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Archer,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Archer,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Archer,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Archer,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Archer,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Archer,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Archer,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Archer,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Archer,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Armstrong,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Armstrong,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Armstrong,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Armstrong,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Armstrong,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Armstrong,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Armstrong,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Armstrong,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Armstrong,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Atascosa,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Atascosa,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Atascosa,UnitedHealthcare,UHC Dual Complete TX-D005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.50 ,$545.00 ,No,H0609,053,0,4.5,,,,,,,,,,,,
Texas,Atascosa,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Atascosa,UnitedHealthcare,UHC Dual Complete TX-V007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.70 ,$545.00 ,No,H0609,065,0,4.5,,,,,,,,,,,,
Texas,Atascosa,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Atascosa,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Atascosa,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Atascosa,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Atascosa,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Atascosa,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Atascosa,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Atascosa,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Atascosa,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Atascosa,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Atascosa,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Atascosa,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Atascosa,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Atascosa,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Atascosa,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Atascosa,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Atascosa,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Austin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Austin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Austin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Austin,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Austin,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Austin,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Austin,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Austin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Austin,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Austin,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Austin,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Austin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Austin,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Austin,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Austin,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Austin,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Austin,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Austin,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,1,Not enough data available,,,,,,,,,,,,
Texas,Austin,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Austin,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Austin,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bailey,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Bailey,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Bailey,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Bailey,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Bailey,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Bailey,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Bailey,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Bailey,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Bailey,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Bailey,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bailey,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bailey,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bailey,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bandera,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Bandera,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Bandera,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Bandera,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Bandera,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Bandera,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Bandera,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Bandera,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Bandera,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Bandera,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Bandera,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Bandera,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Bandera,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Bandera,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Bandera,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Bandera,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Bandera,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Bandera,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Bandera,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Bandera,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bandera,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bandera,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bandera,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bastrop,Humana,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,044,0,4.0,,,,,,,,,,,,
Texas,Bastrop,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Bastrop,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Bastrop,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Bastrop,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Bastrop,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Bastrop,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,2,4.0,,,,,,,,,,,,
Texas,Bastrop,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Bastrop,UnitedHealthcare,UHC Dual Complete TX-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$23.10 ,$545.00 ,No,H4527,003,0,4.5,,,,,,,,,,,,
Texas,Bastrop,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Bastrop,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Bastrop,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Bastrop,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Bastrop,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Bastrop,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Bastrop,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bastrop,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bastrop,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bastrop,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Baylor,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Baylor,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Baylor,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Baylor,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Baylor,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Baylor,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Baylor,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bee,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Bee,UnitedHealthcare,UHC Dual Complete TX-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.00 ,$545.00 ,No,H0609,057,0,4.5,,,,,,,,,,,,
Texas,Bee,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Bee,UnitedHealthcare,UHC Dual Complete TX-V003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$19.80 ,$545.00 ,No,H4527,004,0,4.5,,,,,,,,,,,,
Texas,Bee,UnitedHealthcare,UHC Complete Care TX-0018 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,041,0,4.5,,,,,,,,,,,,*
Texas,Bee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Bee,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Bee,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Bee,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Bee,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bee,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bee,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bee,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bell,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Bell,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Bell,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Bell,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Bell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Bell,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Bell,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Bell,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Bell,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Bell,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bell,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bell,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bell,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bexar,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Bexar,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Bexar,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Bexar,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Bexar,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Bexar,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Bexar,UnitedHealthcare,UHC Dual Complete TX-D005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.50 ,$545.00 ,No,H0609,053,0,4.5,,,,,,,,,,,,
Texas,Bexar,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Bexar,UnitedHealthcare,UHC Dual Complete TX-V007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.70 ,$545.00 ,No,H0609,065,0,4.5,,,,,,,,,,,,
Texas,Bexar,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Bexar,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Bexar,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$19.40 ,$100.00 ,Yes,H2593,031,0,3.0,,,,,*,,,,,,,
Texas,Bexar,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Bexar,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Bexar,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Bexar,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Bexar,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Bexar,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Bexar,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Bexar,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Bexar,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Bexar,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Bexar,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Bexar,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Bexar,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Bexar,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Bexar,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Bexar,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Bexar,Wellpoint,Wellpoint Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,002,0,3.0,,,,,,,,,,,,
Texas,Bexar,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Bexar,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Bexar,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8902,002,0,Plan too new to be measured,,,,*,,,,,,,,
Texas,Bexar,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8902,003,0,Plan too new to be measured,,,,,,,,,*,,,
Texas,Bexar,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$28.40 ,$545.00 ,No,H8902,009,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,Bexar,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bexar,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bexar,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bexar,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Blanco,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Blanco,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Blanco,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Blanco,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Blanco,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Blanco,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Blanco,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Blanco,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Blanco,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Blanco,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Blanco,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Blanco,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Blanco,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Blanco,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Blanco,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Blanco,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Borden,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Borden,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Borden,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Borden,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Borden,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Borden,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Borden,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Borden,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Borden,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bosque,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Bosque,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Bosque,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Bosque,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Bosque,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Bosque,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Bosque,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Bosque,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Bosque,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bosque,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bosque,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bosque,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Bowie,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Bowie,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Bowie,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Bowie,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Bowie,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Bowie,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Bowie,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Bowie,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Bowie,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Bowie,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Bowie,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Brazoria,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Brazoria,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Brazoria,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Brazoria,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Brazoria,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Brazoria,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Brazoria,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Brazoria,Memorial Hermann Health Plan,Memorial Hermann Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7115,005,0,3.0,,,,,,,,,,,,
Texas,Brazoria,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Brazoria,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Brazoria,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Brazoria,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Brazoria,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Brazoria,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Brazoria,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Brazoria,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Brazoria,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Brazoria,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Brazos,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Brazos,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Brazos,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Brazos,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Brazos,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Brazos,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Brazos,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Brazos,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Brazos,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Brazos,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Brazos,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Brazos,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Brewster,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Brewster,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Brewster,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Brewster,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Briscoe,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Briscoe,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Briscoe,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Briscoe,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Briscoe,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Briscoe,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Briscoe,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Briscoe,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Briscoe,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Briscoe,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Briscoe,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Brooks,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Brooks,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Brooks,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Brooks,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Brooks,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Brooks,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Brooks,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Brooks,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Brooks,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Brooks,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Brooks,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Brooks,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Brown,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Brown,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Brown,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Brown,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Brown,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Brown,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Brown,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Burleson,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Burleson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Burleson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Burleson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Burleson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Burleson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Burleson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Burleson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Burnet,Humana,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,044,0,4.0,,,,,,,,,,,,
Texas,Burnet,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Burnet,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Burnet,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Burnet,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Burnet,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Burnet,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Burnet,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,2,4.0,,,,,,,,,,,,
Texas,Burnet,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Burnet,UnitedHealthcare,UHC Dual Complete TX-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$23.10 ,$545.00 ,No,H4527,003,0,4.5,,,,,,,,,,,,
Texas,Burnet,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Burnet,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Burnet,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Burnet,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Burnet,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Burnet,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Burnet,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Burnet,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Burnet,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Caldwell,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Caldwell,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Caldwell,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Caldwell,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Caldwell,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Caldwell,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,2,4.0,,,,,,,,,,,,
Texas,Caldwell,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Caldwell,UnitedHealthcare,UHC Dual Complete TX-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$23.10 ,$545.00 ,No,H4527,003,0,4.5,,,,,,,,,,,,
Texas,Caldwell,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Caldwell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Caldwell,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Caldwell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Caldwell,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Caldwell,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Caldwell,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Caldwell,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Caldwell,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Calhoun,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Calhoun,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Calhoun,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Calhoun,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Calhoun,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Calhoun,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Calhoun,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Calhoun,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Calhoun,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Calhoun,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Calhoun,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Callahan,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Callahan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Callahan,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Callahan,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Callahan,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Cameron,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Cameron,Humana,Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.90 ,$545.00 ,No,H0028,045,0,4.0,,,,,,,,,,,,
Texas,Cameron,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.60 ,$545.00 ,No,H2593,053,0,3.0,,,,,,,,,,,,
Texas,Cameron,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,2,4.0,,,,,,,,,,,,
Texas,Cameron,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Cameron,UnitedHealthcare,UHC Dual Complete TX-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$544.00 ,No,H4527,015,0,4.5,,,,,,,,,,,,
Texas,Cameron,UnitedHealthcare,UHC Complete Care TX-0019 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,042,0,4.5,,,,,,,,,,,,*
Texas,Cameron,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Cameron,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Cameron,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Cameron,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Cameron,UnitedHealthcare,UHC Dual Complete TX-V005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$544.00 ,No,H5322,026,0,4.0,,,,,,,,,,,,
Texas,Cameron,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Cameron,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Cameron,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Cameron,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Cameron,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Cameron,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Cameron,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Cameron,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Camp,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Camp,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Camp,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Camp,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Camp,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Camp,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Camp,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Camp,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Camp,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Camp,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Camp,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Carson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Carson,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Carson,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Carson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Carson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Carson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Carson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Cass,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Cass,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Cass,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Cass,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Cass,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Cass,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Cass,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Cass,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Cass,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Cass,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Cass,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Cass,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Cass,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Castro,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Castro,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Castro,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Castro,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Castro,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Castro,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Castro,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Castro,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Castro,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Castro,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Castro,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Castro,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Castro,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Castro,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Chambers,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Chambers,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Chambers,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Chambers,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Chambers,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Chambers,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Chambers,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Chambers,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Chambers,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Chambers,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Chambers,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Chambers,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Chambers,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Chambers,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Chambers,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Chambers,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Chambers,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Chambers,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Cherokee,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Cherokee,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Cherokee,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Cherokee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Cherokee,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Cherokee,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Cherokee,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Cherokee,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Cherokee,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Cherokee,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Cherokee,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Cherokee,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Cherokee,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Cherokee,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Cherokee,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Childress,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Childress,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Childress,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Clay,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Clay,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Clay,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Clay,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Clay,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Clay,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Clay,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Clay,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Clay,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Clay,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Clay,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Cochran,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Cochran,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Cochran,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Cochran,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Cochran,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Cochran,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Cochran,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Cochran,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Cochran,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Cochran,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Cochran,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Cochran,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Cochran,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Coke,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Coke,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Coke,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Coke,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Coke,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Coke,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Coke,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Coleman,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Coleman,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Coleman,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Coleman,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Coleman,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Coleman,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Collin,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Collin,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Collin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Collin,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Collin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Collin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Collin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Collin,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Collin,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Collin,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Collin,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H2593,056,0,3.0,,,,,,,,,,,,
Texas,Collin,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Collin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Collin,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Collin,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Texas,Collin,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Collin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Collin,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Collin,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Collin,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Collin,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Collin,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Collin,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Collin,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Collin,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Collin,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Collin,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Collingsworth,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Collingsworth,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Collingsworth,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Collingsworth,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Collingsworth,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Colorado,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Colorado,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Colorado,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Colorado,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Colorado,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Colorado,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Colorado,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Colorado,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Colorado,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Colorado,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Colorado,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Colorado,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Colorado,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Colorado,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Colorado,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Colorado,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Colorado,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Comal,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Comal,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Comal,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Comal,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Comal,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Comal,UnitedHealthcare,UHC Dual Complete TX-D005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.50 ,$545.00 ,No,H0609,053,0,4.5,,,,,,,,,,,,
Texas,Comal,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Comal,UnitedHealthcare,UHC Dual Complete TX-V007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.70 ,$545.00 ,No,H0609,065,0,4.5,,,,,,,,,,,,
Texas,Comal,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$19.40 ,$100.00 ,Yes,H2593,031,0,3.0,,,,,*,,,,,,,
Texas,Comal,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Comal,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Comal,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Comal,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Comal,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Comal,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Comal,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Comal,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Comal,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Comal,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Comal,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Comal,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Comal,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Comal,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Comal,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Comal,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Comal,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Comal,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Comal,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Comal,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Comanche,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Comanche,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Comanche,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Comanche,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Comanche,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Comanche,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Concho,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Concho,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Concho,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Concho,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Concho,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Concho,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Cooke,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Cooke,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Cooke,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Cooke,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Cooke,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Cooke,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Cooke,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Cooke,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Cooke,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Cooke,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Cooke,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Cooke,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Cooke,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Cooke,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Cooke,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Cooke,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Cooke,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Cooke,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Cooke,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Cooke,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Cooke,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Cooke,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Coryell,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Coryell,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Coryell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Coryell,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Coryell,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Coryell,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Coryell,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Coryell,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Coryell,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Coryell,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Cottle,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Cottle,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Cottle,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Crane,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Crane,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Crane,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Crane,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Crane,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Crane,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Crockett,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Crockett,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Crockett,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Crockett,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Crosby,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Crosby,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Crosby,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Crosby,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Crosby,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Crosby,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Crosby,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Crosby,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Crosby,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Crosby,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Crosby,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Crosby,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Crosby,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Crosby,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Crosby,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Culberson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Culberson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Culberson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Culberson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Culberson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Dallam,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Dallam,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Dallam,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Dallam,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Dallam,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Dallas,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Dallas,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Dallas,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Dallas,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Dallas,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Dallas,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Dallas,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Dallas,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Dallas,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Dallas,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Dallas,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Dallas,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Dallas,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Dallas,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Dallas,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H2593,056,0,3.0,,,,,,,,,,,,
Texas,Dallas,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Dallas,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Dallas,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Dallas,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Dallas,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Dallas,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Dallas,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Dallas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Dallas,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Dallas,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Dallas,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Dallas,Wellpoint,Wellpoint Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,002,0,3.0,,,,,,,,,,,,
Texas,Dallas,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Dallas,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Dallas,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Dallas,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Dallas,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Dallas,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Dallas,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Dawson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Dawson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Dawson,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Dawson,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Dawson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Dawson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Dawson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Dawson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,DeWitt,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,DeWitt,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,DeWitt,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,DeWitt,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,DeWitt,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,DeWitt,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,DeWitt,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,DeWitt,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,DeWitt,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,DeWitt,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,DeWitt,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,DeWitt,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Deaf Smith,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Deaf Smith,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Deaf Smith,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Deaf Smith,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Deaf Smith,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Deaf Smith,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Deaf Smith,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Delta,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Delta,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Delta,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Delta,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Delta,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Delta,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Delta,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Delta,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Delta,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Delta,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Delta,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Delta,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Delta,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Delta,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Delta,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Denton,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Denton,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Denton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Denton,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Denton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Denton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Denton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Denton,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Denton,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Denton,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Denton,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Denton,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Denton,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Denton,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Denton,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,054,0,3.0,,,,,,,,,,,,
Texas,Denton,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Denton,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Denton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Denton,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Denton,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Denton,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Denton,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Denton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Denton,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Denton,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Denton,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Denton,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Denton,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Denton,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Denton,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Denton,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Denton,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Denton,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Dickens,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Dickens,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Dickens,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Dickens,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Dickens,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Dickens,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Dickens,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Dickens,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Dickens,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Dickens,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Dickens,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Dimmit,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Dimmit,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Dimmit,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Dimmit,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Dimmit,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Dimmit,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Dimmit,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Dimmit,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Dimmit,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Donley,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Donley,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Donley,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Donley,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Donley,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Donley,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Donley,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Duval,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Duval,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Duval,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Duval,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Duval,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Duval,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Duval,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Duval,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Duval,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Duval,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Duval,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Duval,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Eastland,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Eastland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Eastland,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Eastland,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Eastland,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Eastland,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Eastland,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Ector,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Ector,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Ector,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Ector,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Ector,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Ector,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Ector,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Ector,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Ector,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Ector,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Ector,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Edwards,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Edwards,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Edwards,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,El Paso,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,El Paso,Humana,Humana Gold Plus SNP-DE H0028-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,034,0,4.0,,,,,,,,,,,,
Texas,El Paso,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,El Paso,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,El Paso,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,El Paso,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,El Paso,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,El Paso,UnitedHealthcare,UHC Dual Complete TX-D001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$12.00 ,$545.00 ,No,H2406,050,0,4.0,,,,,,,,,,,,
Texas,El Paso,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$19.40 ,$100.00 ,Yes,H2593,031,0,3.0,,,,,*,,,,,,,
Texas,El Paso,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,El Paso,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.40 ,$545.00 ,No,H2593,049,0,3.0,,,,,,,,,,,,
Texas,El Paso,El Paso Health Medicare Advantage,El Paso Health Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H3407,001,0,Not enough data available,,,,,,,,,,,,
Texas,El Paso,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,El Paso,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,3,4.0,,,,,,,,,,,,
Texas,El Paso,UnitedHealthcare,UHC Dual Complete TX-V004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$11.00 ,$545.00 ,No,H4527,006,0,4.5,,,,,,,,,,,,
Texas,El Paso,UnitedHealthcare,UHC Complete Care TX-0017 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,040,0,4.5,,,,,,,,,,,,*
Texas,El Paso,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,El Paso,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,El Paso,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5472,002,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,El Paso,Alignment Health Plan,Alignment Health Heart & Diabetes Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$14.60 ,$545.00 ,No,H5472,004,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,El Paso,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,El Paso,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,El Paso,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,El Paso,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,4,3.0,,,,,,,,,,,,
Texas,El Paso,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,4,3.0,,,,,,,,,,,,
Texas,El Paso,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,El Paso,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,El Paso,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,El Paso,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Ellis,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Ellis,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Ellis,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Ellis,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Ellis,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Ellis,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Ellis,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H2593,056,0,3.0,,,,,,,,,,,,
Texas,Ellis,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Ellis,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Ellis,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Ellis,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Ellis,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Ellis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Ellis,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Ellis,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Ellis,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Ellis,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Ellis,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Ellis,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Ellis,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Ellis,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Erath,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Erath,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Erath,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Erath,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Erath,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Erath,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Erath,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Erath,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Erath,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Erath,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Erath,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Erath,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Erath,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Falls,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Falls,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Falls,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Falls,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Falls,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Falls,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Falls,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Falls,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Falls,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Falls,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Fannin,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Fannin,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Fannin,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Fannin,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Fannin,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Fannin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Fannin,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Fannin,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Fannin,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Fannin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Fannin,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Fannin,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Fannin,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Fannin,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Fannin,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Fannin,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Fayette,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Fayette,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Fayette,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Fayette,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Fayette,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Fayette,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Fayette,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Fayette,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Fayette,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Fayette,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Fayette,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Fayette,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Fayette,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Fayette,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Fayette,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Fisher,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Fisher,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Fisher,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Fisher,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Fisher,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Fisher,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Fisher,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Fisher,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Fisher,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Floyd,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Floyd,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Floyd,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Floyd,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Floyd,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Floyd,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Floyd,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Floyd,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Floyd,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Floyd,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Floyd,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Floyd,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Floyd,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Foard,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Foard,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Foard,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Foard,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Fort Bend,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Fort Bend,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Fort Bend,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Fort Bend,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Fort Bend,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Fort Bend,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Fort Bend,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Fort Bend,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Fort Bend,UnitedHealthcare,UHC Complete Care TX-002P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4514,015,0,4.0,,,,,,,,,,,,*
Texas,Fort Bend,UnitedHealthcare,UHC Dual Complete TX-D01P (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H4514,016,0,4.0,,,,,,,,,,,,
Texas,Fort Bend,UnitedHealthcare,UHC Dual Complete TX-V01P (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,018,0,4.0,,,,,,,,,,,,
Texas,Fort Bend,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Fort Bend,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Fort Bend,Verda Health Plan of Texas,Verda Noble Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5163,002,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,Fort Bend,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Fort Bend,Memorial Hermann Health Plan,Memorial Hermann Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7115,005,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Fort Bend,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Fort Bend,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Fort Bend,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Fort Bend,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Fort Bend,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Fort Bend,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Fort Bend,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Fort Bend,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Franklin,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Franklin,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Franklin,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Franklin,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Franklin,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Franklin,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Franklin,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Franklin,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Franklin,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Franklin,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Franklin,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Freestone,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Freestone,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Freestone,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Freestone,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Freestone,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Freestone,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Freestone,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Freestone,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Freestone,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Freestone,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Frio,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Frio,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Frio,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Frio,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Frio,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Frio,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Frio,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Frio,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Frio,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Frio,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Gaines,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Gaines,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Gaines,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Gaines,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Galveston,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Galveston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Galveston,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Galveston,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Galveston,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Galveston,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Galveston,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Galveston,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Galveston,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Galveston,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Galveston,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Galveston,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Galveston,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Galveston,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Galveston,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Galveston,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Galveston,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Galveston,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Galveston,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Galveston,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Galveston,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Galveston,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Garza,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Garza,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Garza,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Garza,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Garza,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Garza,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Garza,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Garza,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Garza,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Garza,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Garza,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Garza,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Garza,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Gillespie,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Gillespie,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Gillespie,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Gillespie,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Gillespie,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Gillespie,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Gillespie,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Gillespie,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Gillespie,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Gillespie,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Gillespie,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Gillespie,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Glasscock,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Glasscock,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Glasscock,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Glasscock,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Glasscock,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Glasscock,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Glasscock,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Goliad,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Goliad,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Goliad,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Goliad,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Goliad,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Goliad,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Goliad,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Goliad,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Goliad,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Goliad,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Goliad,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Goliad,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Gonzales,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Gonzales,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Gonzales,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Gonzales,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Gonzales,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Gonzales,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Gonzales,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Gonzales,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Gonzales,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Gonzales,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Gonzales,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Gonzales,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Gonzales,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Gonzales,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Gray,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Gray,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Gray,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Gray,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Gray,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Gray,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Gray,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Grayson,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Grayson,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Grayson,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Grayson,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Grayson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Grayson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Grayson,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Grayson,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Grayson,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Grayson,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Grayson,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Grayson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Grayson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Grayson,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Grayson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Grayson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Grayson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Grayson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Gregg,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Gregg,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Gregg,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Gregg,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$13.50 ,$545.00 ,No,H4513,027,0,4.0,,,,,,,,,,,,
Texas,Gregg,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Gregg,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Gregg,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Gregg,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Gregg,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Gregg,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Gregg,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Gregg,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Gregg,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Gregg,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Gregg,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Gregg,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Gregg,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Grimes,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Grimes,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Grimes,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Grimes,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Grimes,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Grimes,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Grimes,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Grimes,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Grimes,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Grimes,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Grimes,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Grimes,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Grimes,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Grimes,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Grimes,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Grimes,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Grimes,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Grimes,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Guadalupe,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Guadalupe,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,UnitedHealthcare,UHC Dual Complete TX-D005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.50 ,$545.00 ,No,H0609,053,0,4.5,,,,,,,,,,,,
Texas,Guadalupe,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Guadalupe,UnitedHealthcare,UHC Dual Complete TX-V007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.70 ,$545.00 ,No,H0609,065,0,4.5,,,,,,,,,,,,
Texas,Guadalupe,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Guadalupe,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Guadalupe,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Guadalupe,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Guadalupe,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Guadalupe,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Guadalupe,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Guadalupe,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Guadalupe,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Guadalupe,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Guadalupe,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Guadalupe,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Guadalupe,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Guadalupe,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Guadalupe,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Guadalupe,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hale,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Hale,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Hale,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Hale,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Hale,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hale,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Hale,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hale,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hale,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hale,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Hale,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Hale,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hale,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hale,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hale,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hall,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Hall,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hall,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hall,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hall,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hall,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hamilton,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Hamilton,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hamilton,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Hamilton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hamilton,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Hamilton,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hamilton,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hamilton,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hamilton,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hamilton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Hamilton,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Hamilton,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hamilton,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hamilton,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hamilton,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hansford,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Hansford,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hansford,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hansford,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hansford,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hansford,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hansford,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hardeman,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hardeman,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hardeman,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hardeman,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hardin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Hardin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Hardin,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Hardin,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Hardin,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Hardin,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Hardin,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Hardin,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hardin,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hardin,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Hardin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hardin,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hardin,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hardin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Hardin,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Hardin,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Hardin,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Hardin,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Hardin,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hardin,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,Hardin,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hardin,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hardin,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Harris,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Harris,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Harris,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Harris,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Harris,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Harris,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Harris,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Harris,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Harris,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Harris,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Harris,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Harris,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,UHC Complete Care TX-002P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4514,015,0,4.0,,,,,,,,,,,,*
Texas,Harris,UnitedHealthcare,UHC Dual Complete TX-D01P (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H4514,016,0,4.0,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,UHC Dual Complete TX-V01P (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,018,0,4.0,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Harris,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Harris,Verda Health Plan of Texas,Verda Noble Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5163,002,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,Harris,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Texas,Harris,Memorial Hermann Health Plan,Memorial Hermann Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7115,005,0,3.0,,,,,,,,,,,,
Texas,Harris,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Harris,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Harris,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Harris,Wellpoint,Wellpoint Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,002,0,3.0,,,,,,,,,,,,
Texas,Harris,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,003,0,3.0,,,,,,,,,,,,*
Texas,Harris,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,005,0,3.0,,,,,,,*,,,,,
Texas,Harris,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Harris,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Harris,SCAN Health Plan,SCAN Balance (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8902,006,0,Plan too new to be measured,,,,*,,,,,,,,
Texas,Harris,SCAN Health Plan,SCAN Heart First (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8902,007,0,Plan too new to be measured,,,,,,,,,*,,,
Texas,Harris,SCAN Health Plan,SCAN Strive (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$28.40 ,$545.00 ,No,H8902,009,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,Harris,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Harris,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Harris,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Harris,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Harris,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Harrison,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Harrison,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Harrison,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$13.50 ,$545.00 ,No,H4513,027,0,4.0,,,,,,,,,,,,
Texas,Harrison,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Harrison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Harrison,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Harrison,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Harrison,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Harrison,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Harrison,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Harrison,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Harrison,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Harrison,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hartley,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Hartley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hartley,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hartley,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hartley,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hartley,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Haskell,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Haskell,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Haskell,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Haskell,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Haskell,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Haskell,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hays,Humana,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,044,0,4.0,,,,,,,,,,,,
Texas,Hays,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Hays,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Hays,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Hays,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$19.40 ,$100.00 ,Yes,H2593,031,0,3.0,,,,,*,,,,,,,
Texas,Hays,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Hays,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Hays,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,2,4.0,,,,,,,,,,,,
Texas,Hays,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Hays,UnitedHealthcare,UHC Dual Complete TX-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$23.10 ,$545.00 ,No,H4527,003,0,4.5,,,,,,,,,,,,
Texas,Hays,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Hays,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hays,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hays,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Hays,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Hays,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hays,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hays,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hays,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hemphill,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hemphill,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hemphill,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Henderson,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Henderson,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Henderson,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Henderson,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Henderson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$13.50 ,$545.00 ,No,H4513,027,0,4.0,,,,,,,,,,,,
Texas,Henderson,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,3,4.0,,,,,,,,,,,,
Texas,Henderson,UnitedHealthcare,UHC Dual Complete TX-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.90 ,$545.00 ,No,H4514,019,0,4.0,,,,,,,,,,,,
Texas,Henderson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Henderson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Henderson,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Henderson,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Henderson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Henderson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Henderson,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Henderson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Henderson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Henderson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Henderson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hidalgo,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Hidalgo,Humana,Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.90 ,$545.00 ,No,H0028,045,0,4.0,,,,,,,,,,,,
Texas,Hidalgo,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Hidalgo,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.60 ,$545.00 ,No,H2593,053,0,3.0,,,,,,,,,,,,
Texas,Hidalgo,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,2,4.0,,,,,,,,,,,,
Texas,Hidalgo,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Hidalgo,UnitedHealthcare,UHC Dual Complete TX-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$544.00 ,No,H4527,015,0,4.5,,,,,,,,,,,,
Texas,Hidalgo,UnitedHealthcare,UHC Complete Care TX-0019 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,042,0,4.5,,,,,,,,,,,,*
Texas,Hidalgo,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Hidalgo,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Hidalgo,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hidalgo,UnitedHealthcare,UHC Dual Complete TX-V005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$544.00 ,No,H5322,026,0,4.0,,,,,,,,,,,,
Texas,Hidalgo,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Hidalgo,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Hidalgo,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Hidalgo,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Hidalgo,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hidalgo,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hidalgo,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hidalgo,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hill,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Hill,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hill,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Hill,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hill,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hill,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hill,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Hill,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Hill,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hill,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hill,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hill,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hockley,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Hockley,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Hockley,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Hockley,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Hockley,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hockley,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Hockley,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hockley,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hockley,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hockley,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Hockley,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Hockley,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hockley,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hockley,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hockley,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hood,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Hood,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Hood,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,054,0,3.0,,,,,,,,,,,,
Texas,Hood,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hood,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Hood,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Hood,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hood,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Hood,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hood,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hood,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hood,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hood,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Hood,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Hood,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Hood,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Hood,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Hood,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hood,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hood,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hood,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hopkins,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hopkins,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Hopkins,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hopkins,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hopkins,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hopkins,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Hopkins,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Hopkins,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Hopkins,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hopkins,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hopkins,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hopkins,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Houston,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Houston,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Houston,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Houston,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Houston,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Houston,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Houston,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Houston,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Houston,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Howard,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Howard,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Howard,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Howard,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Howard,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Howard,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Howard,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Howard,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Howard,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hudspeth,Humana,Humana Gold Plus SNP-DE H0028-034 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,034,0,4.0,,,,,,,,,,,,
Texas,Hudspeth,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Hudspeth,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Hudspeth,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$23.40 ,$545.00 ,No,H2593,049,0,3.0,,,,,,,,,,,,
Texas,Hudspeth,El Paso Health Medicare Advantage,El Paso Health Medicare Advantage Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H3407,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hudspeth,Alignment Health Plan,Alignment Health Heart & Diabetes (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5472,002,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,Hudspeth,Alignment Health Plan,Alignment Health Heart & Diabetes Plus (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Basic,DS,$14.60 ,$545.00 ,No,H5472,004,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,Hudspeth,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Hudspeth,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,4,3.0,,,,,,,,,,,,
Texas,Hudspeth,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,4,3.0,,,,,,,,,,,,
Texas,Hudspeth,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hudspeth,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hudspeth,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hudspeth,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hunt,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Hunt,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Hunt,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Hunt,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Hunt,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H2593,056,0,3.0,,,,,,,,,,,,
Texas,Hunt,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Hunt,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hunt,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Hunt,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Hunt,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hunt,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hunt,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Hunt,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Hunt,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Hunt,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Hunt,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hunt,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hunt,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Hutchinson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Hutchinson,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Hutchinson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Hutchinson,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Hutchinson,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Hutchinson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Hutchinson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Hutchinson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Hutchinson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Irion,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Irion,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Irion,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Irion,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Irion,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Irion,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Irion,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jack,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Jack,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Jack,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Jack,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Jack,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Jack,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Jack,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Jack,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Jack,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Jack,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Jack,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Jack,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Jack,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jack,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jack,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jackson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Jackson,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Jackson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Jackson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Jackson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jackson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jackson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jasper,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Jasper,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Jasper,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Jasper,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Jasper,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Jasper,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Jasper,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Jasper,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Jasper,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Jasper,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Jasper,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Jasper,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Jasper,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,Jasper,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jasper,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jasper,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jeff Davis,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Jeff Davis,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jeff Davis,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jeff Davis,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jefferson,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Jefferson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Jefferson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Jefferson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Jefferson,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Jefferson,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Jefferson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Jefferson,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Jefferson,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Jefferson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Jefferson,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Jefferson,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Jefferson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Jefferson,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Jefferson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Jefferson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Jefferson,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Jefferson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Jefferson,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Jefferson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jefferson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jefferson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jim Hogg,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Jim Hogg,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Jim Hogg,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Jim Hogg,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Jim Hogg,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Jim Hogg,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Jim Hogg,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Jim Hogg,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Jim Hogg,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Jim Hogg,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Jim Hogg,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jim Hogg,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jim Hogg,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jim Wells,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Jim Wells,UnitedHealthcare,UHC Dual Complete TX-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.00 ,$545.00 ,No,H0609,057,0,4.5,,,,,,,,,,,,
Texas,Jim Wells,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Jim Wells,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Jim Wells,UnitedHealthcare,UHC Dual Complete TX-V003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$19.80 ,$545.00 ,No,H4527,004,0,4.5,,,,,,,,,,,,
Texas,Jim Wells,UnitedHealthcare,UHC Complete Care TX-0018 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,041,0,4.5,,,,,,,,,,,,*
Texas,Jim Wells,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Jim Wells,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Jim Wells,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Jim Wells,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Jim Wells,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Jim Wells,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jim Wells,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jim Wells,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Johnson,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Johnson,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Johnson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Johnson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Johnson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Johnson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Johnson,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Johnson,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Johnson,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Johnson,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Johnson,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Johnson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,054,0,3.0,,,,,,,,,,,,
Texas,Johnson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Johnson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Johnson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Johnson,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Johnson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Johnson,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Johnson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Johnson,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Johnson,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Johnson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Johnson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Johnson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Johnson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Jones,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Jones,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Jones,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Jones,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Jones,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Jones,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Jones,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Karnes,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Karnes,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Karnes,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Karnes,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Karnes,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Karnes,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Karnes,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Karnes,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Karnes,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Karnes,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Karnes,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kaufman,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Kaufman,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Kaufman,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Kaufman,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Kaufman,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Kaufman,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H2593,056,0,3.0,,,,,,,,,,,,
Texas,Kaufman,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Kaufman,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Kaufman,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Kaufman,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Kaufman,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Kaufman,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Kaufman,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Kaufman,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Kaufman,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Kaufman,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kaufman,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kaufman,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kendall,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Kendall,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Kendall,UnitedHealthcare,UHC Dual Complete TX-D005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.50 ,$545.00 ,No,H0609,053,0,4.5,,,,,,,,,,,,
Texas,Kendall,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Kendall,UnitedHealthcare,UHC Dual Complete TX-V007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.70 ,$545.00 ,No,H0609,065,0,4.5,,,,,,,,,,,,
Texas,Kendall,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Kendall,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Kendall,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Kendall,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Kendall,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Kendall,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Kendall,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Kendall,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Kendall,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Kendall,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Kendall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Kendall,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Kendall,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Kendall,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Kendall,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Kendall,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Kendall,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kendall,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kendall,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kenedy,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Kenedy,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Kenedy,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Kenedy,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Kenedy,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Kenedy,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Kenedy,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Kenedy,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Kenedy,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kenedy,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kenedy,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kent,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Kent,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Kent,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Kent,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Kent,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kent,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kent,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kerr,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Kerr,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Kerr,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Kerr,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kerr,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kerr,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kimble,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Kimble,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Kimble,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Kimble,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Kimble,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kimble,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kimble,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,King,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,King,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,King,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,King,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,King,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kinney,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Kinney,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Kinney,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kinney,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kinney,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Kleberg,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Kleberg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Kleberg,UnitedHealthcare,UHC Dual Complete TX-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.00 ,$545.00 ,No,H0609,057,0,4.5,,,,,,,,,,,,
Texas,Kleberg,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Kleberg,UnitedHealthcare,UHC Dual Complete TX-V003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$19.80 ,$545.00 ,No,H4527,004,0,4.5,,,,,,,,,,,,
Texas,Kleberg,UnitedHealthcare,UHC Complete Care TX-0018 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,041,0,4.5,,,,,,,,,,,,*
Texas,Kleberg,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Kleberg,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Kleberg,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Kleberg,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Kleberg,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Kleberg,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Kleberg,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Kleberg,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Kleberg,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Kleberg,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Knox,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Knox,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Knox,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Knox,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Knox,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Knox,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,La Salle,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,La Salle,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,La Salle,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,La Salle,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,La Salle,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,La Salle,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,La Salle,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,La Salle,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,La Salle,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,La Salle,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,La Salle,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lamar,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Lamar,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Lamar,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Lamar,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Lamar,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Lamar,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Lamar,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Lamar,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Lamar,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Lamar,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lamar,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lamar,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lamb,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Lamb,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Lamb,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Lamb,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Lamb,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Lamb,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Lamb,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Lamb,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Lamb,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Lamb,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Lamb,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lamb,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lamb,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lampasas,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Lampasas,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Lampasas,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Lampasas,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Lampasas,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Lampasas,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Lampasas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Lampasas,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Lampasas,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Lampasas,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lampasas,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lampasas,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lavaca,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Lavaca,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Lavaca,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Lavaca,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Lavaca,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Lavaca,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Lavaca,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Lavaca,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Lavaca,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lavaca,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lavaca,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lee,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Lee,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Lee,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Lee,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Lee,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Lee,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Lee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Lee,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Lee,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Lee,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Lee,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Lee,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Lee,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lee,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lee,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Leon,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Leon,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Leon,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Leon,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Leon,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Leon,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Leon,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Leon,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Leon,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Leon,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Leon,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Leon,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Liberty,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Liberty,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Liberty,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Liberty,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Liberty,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Liberty,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Liberty,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Liberty,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Liberty,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Liberty,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Liberty,Memorial Hermann Health Plan,Memorial Hermann Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7115,005,0,3.0,,,,,,,,,,,,
Texas,Liberty,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Liberty,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Liberty,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Liberty,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Liberty,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Liberty,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Liberty,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Liberty,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Liberty,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Liberty,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Limestone,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Limestone,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Limestone,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Limestone,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Limestone,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Limestone,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Limestone,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Limestone,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Limestone,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Limestone,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Limestone,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Limestone,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lipscomb,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lipscomb,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lipscomb,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Live Oak,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Live Oak,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Live Oak,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Live Oak,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Live Oak,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Live Oak,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Live Oak,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Llano,Humana,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,044,0,4.0,,,,,,,,,,,,
Texas,Llano,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Llano,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Llano,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Llano,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Llano,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Llano,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Llano,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Llano,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Llano,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Llano,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Llano,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Llano,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Loving,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Loving,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Loving,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Loving,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Loving,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lubbock,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Lubbock,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Lubbock,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Lubbock,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Lubbock,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Lubbock,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Lubbock,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Lubbock,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Lubbock,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Lubbock,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Lubbock,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Lubbock,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Lubbock,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Lubbock,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Lubbock,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Lubbock,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lubbock,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lubbock,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Lynn,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Lynn,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Lynn,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Lynn,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Lynn,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Lynn,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Lynn,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Lynn,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Lynn,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Lynn,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Lynn,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Lynn,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Lynn,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Lynn,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Madison,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Madison,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Madison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Madison,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Madison,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Madison,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Madison,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Madison,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Madison,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Madison,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Marion,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Marion,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Marion,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Marion,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Marion,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Marion,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Marion,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Marion,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Marion,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Marion,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Martin,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Martin,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Martin,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Martin,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Martin,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Martin,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Martin,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Martin,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Martin,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Mason,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Mason,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Mason,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Mason,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Mason,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Mason,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Mason,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Mason,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Mason,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Matagorda,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Matagorda,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Matagorda,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Matagorda,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Matagorda,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Matagorda,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Matagorda,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Matagorda,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Matagorda,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Matagorda,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Matagorda,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Matagorda,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Matagorda,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Matagorda,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Matagorda,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Matagorda,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Matagorda,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Matagorda,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,1,Not enough data available,,,,,,,,,,,,
Texas,Matagorda,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Matagorda,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Matagorda,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Maverick,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Maverick,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Maverick,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Maverick,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Maverick,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Maverick,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Maverick,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Maverick,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Maverick,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Maverick,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Maverick,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,McCulloch,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,McCulloch,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,McCulloch,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,McCulloch,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,McCulloch,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,McCulloch,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,McCulloch,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,McLennan,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,McLennan,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,McLennan,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,McLennan,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,McLennan,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,McLennan,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,McLennan,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,McLennan,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,McLennan,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,McLennan,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,McLennan,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,McLennan,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,McLennan,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,McMullen,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,McMullen,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,McMullen,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,McMullen,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,McMullen,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,McMullen,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,McMullen,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,McMullen,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,McMullen,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Medina,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Medina,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Medina,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Medina,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Medina,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Medina,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Medina,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Medina,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Medina,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Medina,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Medina,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Medina,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Medina,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Medina,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Medina,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Medina,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Medina,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Medina,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Medina,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Medina,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Medina,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Medina,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Menard,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Menard,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Menard,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Menard,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Menard,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Midland,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Midland,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Midland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Midland,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Midland,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Midland,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Midland,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Midland,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Midland,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Midland,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Milam,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Milam,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Milam,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Milam,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Milam,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Milam,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Milam,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Milam,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Milam,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Milam,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Milam,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Milam,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Milam,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Milam,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Mills,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Mills,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Mills,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Mills,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Mills,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Mills,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Mills,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Mills,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Mills,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Mills,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Mills,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Mills,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Mitchell,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Mitchell,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Mitchell,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Mitchell,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Mitchell,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Mitchell,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Mitchell,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Montague,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Montague,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Montague,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Montague,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Montague,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Montague,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Montague,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Montague,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Montague,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Montague,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Montague,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Montague,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Montague,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Montague,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Montague,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Montgomery,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Montgomery,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Montgomery,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Montgomery,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Montgomery,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Montgomery,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Montgomery,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Montgomery,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Montgomery,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Montgomery,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Montgomery,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Montgomery,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Montgomery,UnitedHealthcare,UHC Complete Care TX-002P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4514,015,0,4.0,,,,,,,,,,,,*
Texas,Montgomery,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Montgomery,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Montgomery,Verda Health Plan of Texas,Verda Noble Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5163,002,0,Plan too new to be measured,,,,,,,,,,,,*
Texas,Montgomery,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Montgomery,Memorial Hermann Health Plan,Memorial Hermann Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7115,005,0,3.0,,,,,,,,,,,,
Texas,Montgomery,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Montgomery,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Montgomery,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Montgomery,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Montgomery,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Montgomery,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Montgomery,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,2,Not enough data available,,,,,,,,,,,,
Texas,Montgomery,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Montgomery,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Montgomery,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Moore,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Moore,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Moore,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Moore,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Moore,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Moore,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Moore,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Moore,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Morris,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Morris,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Morris,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Morris,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Morris,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Morris,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Morris,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Morris,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Morris,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Motley,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Motley,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Motley,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Motley,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Motley,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Motley,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Motley,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Motley,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Motley,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Nacogdoches,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Nacogdoches,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Nacogdoches,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Nacogdoches,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Nacogdoches,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Nacogdoches,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Nacogdoches,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Nacogdoches,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Nacogdoches,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Nacogdoches,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Nacogdoches,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Nacogdoches,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Nacogdoches,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Nacogdoches,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Nacogdoches,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Nacogdoches,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Navarro,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Navarro,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Navarro,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Navarro,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H2593,056,0,3.0,,,,,,,,,,,,
Texas,Navarro,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Navarro,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Navarro,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Navarro,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Navarro,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Navarro,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Navarro,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Navarro,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Navarro,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Navarro,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Navarro,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Navarro,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Navarro,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Navarro,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Navarro,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Newton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Newton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Newton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Newton,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Newton,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Newton,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,Newton,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Newton,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Newton,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Nolan,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Nolan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Nolan,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Nolan,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Nolan,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Nolan,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Nolan,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Nolan,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Nolan,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Nueces,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Nueces,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Nueces,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Nueces,UnitedHealthcare,UHC Dual Complete TX-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.00 ,$545.00 ,No,H0609,057,0,4.5,,,,,,,,,,,,
Texas,Nueces,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Nueces,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$12.50 ,$545.00 ,No,H4513,075,0,4.0,,,,,,,,,,,,
Texas,Nueces,UnitedHealthcare,UHC Dual Complete TX-V003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$19.80 ,$545.00 ,No,H4527,004,0,4.5,,,,,,,,,,,,
Texas,Nueces,UnitedHealthcare,UHC Complete Care TX-0018 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,041,0,4.5,,,,,,,,,,,,*
Texas,Nueces,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Nueces,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Nueces,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Nueces,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Nueces,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Nueces,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Nueces,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Ochiltree,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Ochiltree,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Ochiltree,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Oldham,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Oldham,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Oldham,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Oldham,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Oldham,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Orange,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,Orange,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Orange,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Orange,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Orange,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Orange,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Orange,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Orange,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Orange,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Orange,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Orange,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Orange,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Orange,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Orange,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Orange,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Orange,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Orange,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Orange,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Orange,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Orange,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,Orange,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Orange,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Orange,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Palo Pinto,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Palo Pinto,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Palo Pinto,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Palo Pinto,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Palo Pinto,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Palo Pinto,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Palo Pinto,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Palo Pinto,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Palo Pinto,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Palo Pinto,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Palo Pinto,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Palo Pinto,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Palo Pinto,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Palo Pinto,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Palo Pinto,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Panola,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Panola,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Panola,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Panola,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Panola,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Panola,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Panola,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Panola,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Panola,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Panola,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Panola,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Parker,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Parker,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Parker,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Parker,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Parker,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,054,0,3.0,,,,,,,,,,,,
Texas,Parker,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Parker,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Parker,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Parker,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Parker,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Parker,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Parker,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Parker,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Parker,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Parker,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Parker,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Parker,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Parker,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Parker,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Parker,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Parker,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Parker,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Parker,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Parker,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Parker,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Parmer,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Parmer,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Parmer,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Pecos,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Pecos,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Pecos,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Pecos,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Pecos,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Polk,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Polk,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Polk,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Polk,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Polk,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Polk,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Polk,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Polk,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Polk,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Polk,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Polk,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Polk,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Polk,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Polk,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Polk,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,Polk,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Polk,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Polk,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Potter,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Potter,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Potter,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Potter,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Potter,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Potter,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Potter,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Potter,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Potter,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Potter,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Potter,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Potter,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Presidio,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Presidio,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Presidio,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Presidio,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Rains,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Rains,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Rains,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Rains,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Rains,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Rains,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Rains,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Rains,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Rains,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Rains,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Rains,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Rains,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Rains,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Randall,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Randall,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Randall,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Randall,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Randall,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Randall,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Randall,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Randall,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Randall,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Randall,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Randall,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Randall,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Randall,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Reagan,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Reagan,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Reagan,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Reagan,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Reagan,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Real,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Real,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Real,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Real,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Real,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Real,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Real,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Real,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Real,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Red River,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Red River,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Red River,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Red River,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Red River,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Red River,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Red River,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Red River,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Red River,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Red River,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Red River,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Red River,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Red River,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Reeves,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Reeves,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Reeves,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Reeves,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Reeves,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Refugio,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Refugio,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Refugio,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Refugio,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Refugio,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Refugio,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Refugio,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Refugio,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Refugio,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Refugio,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Refugio,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Refugio,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Roberts,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Roberts,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Roberts,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Roberts,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Roberts,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Roberts,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Roberts,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Robertson,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Robertson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Robertson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Robertson,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Robertson,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Robertson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Robertson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Robertson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Robertson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Robertson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Rockwall,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Rockwall,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Rockwall,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Rockwall,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Rockwall,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Rockwall,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Rockwall,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Rockwall,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Rockwall,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Rockwall,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Rockwall,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Rockwall,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.90 ,$545.00 ,No,H2593,056,0,3.0,,,,,,,,,,,,
Texas,Rockwall,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Rockwall,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Rockwall,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Rockwall,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Rockwall,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Rockwall,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Rockwall,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Rockwall,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Rockwall,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Rockwall,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Rockwall,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Rockwall,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Rockwall,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Rockwall,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Rockwall,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Runnels,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Runnels,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Runnels,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Runnels,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Runnels,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Runnels,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Runnels,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Rusk,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Rusk,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$13.50 ,$545.00 ,No,H4513,027,0,4.0,,,,,,,,,,,,
Texas,Rusk,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Rusk,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Rusk,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Rusk,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Rusk,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Rusk,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Rusk,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Rusk,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Rusk,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Rusk,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Rusk,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Rusk,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Rusk,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Sabine,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Sabine,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Sabine,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Sabine,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Sabine,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Sabine,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,San Augustine,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,San Augustine,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,San Augustine,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,San Augustine,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,San Augustine,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,San Augustine,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,San Augustine,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,San Augustine,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,San Augustine,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,San Augustine,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,San Jacinto,Humana,Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,033,0,4.0,,,,,,,,,,,,
Texas,San Jacinto,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,San Jacinto,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,San Jacinto,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,San Jacinto,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,San Jacinto,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,San Jacinto,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,San Jacinto,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,San Jacinto,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,San Jacinto,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,San Jacinto,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,San Jacinto,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,San Jacinto,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,San Jacinto,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,San Jacinto,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,San Jacinto,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,San Jacinto,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,San Jacinto,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,San Jacinto,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,San Jacinto,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,San Patricio,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,San Patricio,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,San Patricio,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,San Patricio,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,San Patricio,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,San Patricio,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,San Patricio,UnitedHealthcare,UHC Dual Complete TX-D006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.00 ,$545.00 ,No,H0609,057,0,4.5,,,,,,,,,,,,
Texas,San Patricio,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,San Patricio,UnitedHealthcare,UHC Dual Complete TX-V003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$19.80 ,$545.00 ,No,H4527,004,0,4.5,,,,,,,,,,,,
Texas,San Patricio,UnitedHealthcare,UHC Complete Care TX-0018 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,041,0,4.5,,,,,,,,,,,,*
Texas,San Patricio,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,San Patricio,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,San Patricio,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,San Patricio,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,San Patricio,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,San Saba,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,San Saba,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,San Saba,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,San Saba,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,San Saba,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,San Saba,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,San Saba,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,San Saba,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,San Saba,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,San Saba,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,San Saba,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,San Saba,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Schleicher,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Schleicher,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Schleicher,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Schleicher,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Schleicher,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Scurry,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Scurry,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Scurry,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Scurry,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Shackelford,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Shackelford,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Shackelford,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Shackelford,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Shackelford,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Shackelford,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Shackelford,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Shelby,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Shelby,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Shelby,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Shelby,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Shelby,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Shelby,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Shelby,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Shelby,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Shelby,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Shelby,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Sherman,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Sherman,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Sherman,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Sherman,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Sherman,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Smith,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Smith,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Smith,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$13.50 ,$545.00 ,No,H4513,027,0,4.0,,,,,,,,,,,,
Texas,Smith,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,3,4.0,,,,,,,,,,,,
Texas,Smith,UnitedHealthcare,UHC Dual Complete TX-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.90 ,$545.00 ,No,H4514,019,0,4.0,,,,,,,,,,,,
Texas,Smith,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Smith,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Smith,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Smith,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Smith,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Smith,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Smith,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Smith,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Smith,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Smith,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Smith,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Smith,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Smith,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Somervell,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Somervell,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Somervell,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Somervell,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Somervell,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Somervell,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Somervell,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Somervell,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Somervell,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Somervell,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Somervell,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Somervell,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Starr,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Starr,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Starr,UnitedHealthcare,UHC Complete Care TX-0019 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,042,0,4.5,,,,,,,,,,,,*
Texas,Starr,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Starr,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Starr,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Starr,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Starr,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Starr,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Starr,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Starr,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Starr,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Starr,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Starr,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Starr,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Stephens,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Stephens,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Stephens,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Stephens,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Stephens,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Sterling,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Sterling,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Sterling,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Sterling,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Sterling,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Sterling,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Sterling,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Stonewall,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Stonewall,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Stonewall,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Stonewall,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Stonewall,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Sutton,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Sutton,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Sutton,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Sutton,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Sutton,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Swisher,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Swisher,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Swisher,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Swisher,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Swisher,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Swisher,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Swisher,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Swisher,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Swisher,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Swisher,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Swisher,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Swisher,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Swisher,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Tarrant,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Tarrant,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Tarrant,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Tarrant,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Tarrant,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Tarrant,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Tarrant,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Tarrant,UnitedHealthcare,UHC Dual Complete TX-D004 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.60 ,$545.00 ,No,H0609,052,0,4.5,,,,,,,,,,,,
Texas,Tarrant,UnitedHealthcare,UHC Complete Care TX-003P (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,062,0,4.5,,,,,,,,,,,,*
Texas,Tarrant,UnitedHealthcare,UHC Dual Complete TX-V006 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H0609,064,0,4.5,,,,,,,,,,,,
Texas,Tarrant,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Tarrant,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Tarrant,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Tarrant,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Tarrant,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,054,0,3.0,,,,,,,,,,,,
Texas,Tarrant,ProCare Advantage,ProCare Advantage (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H3467,001,0,Not enough data available,,,,,,,,,,,,
Texas,Tarrant,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Tarrant,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Tarrant,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Tarrant,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Tarrant,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Tarrant,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Tarrant,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Tarrant,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Tarrant,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Tarrant,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Tarrant,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Tarrant,Wellpoint,Wellpoint Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,002,0,3.0,,,,,,,,,,,,
Texas,Tarrant,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Tarrant,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Tarrant,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Tarrant,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Tarrant,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Tarrant,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Tarrant,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Taylor,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Taylor,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Taylor,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Taylor,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Taylor,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Taylor,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Taylor,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Taylor,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Taylor,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Terrell,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Terrell,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Terrell,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Terry,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Terry,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Terry,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.90 ,$545.00 ,No,H2593,047,0,3.0,,,,,,,,,,,,
Texas,Terry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Terry,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Terry,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Terry,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Terry,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Terry,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,5,3.0,,,,,,,,,,,,
Texas,Terry,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,5,3.0,,,,,,,,,,,,
Texas,Terry,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Terry,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Terry,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Terry,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Throckmorton,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Throckmorton,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Throckmorton,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Throckmorton,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Throckmorton,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Throckmorton,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Throckmorton,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Throckmorton,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Throckmorton,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Throckmorton,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Throckmorton,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Titus,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Titus,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Titus,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Titus,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Titus,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Titus,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Titus,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Titus,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Titus,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Titus,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Titus,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Titus,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Titus,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Titus,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Titus,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Tom Green,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Tom Green,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Tom Green,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Tom Green,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Tom Green,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Tom Green,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Tom Green,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Tom Green,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Tom Green,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Tom Green,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Travis,Humana,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,044,0,4.0,,,,,,,,,,,,
Texas,Travis,Humana,Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,064,0,4.0,,,,,,,,,,,,
Texas,Travis,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Travis,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Travis,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Travis,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Travis,UnitedHealthcare,UHC Care Advantage EX-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$28.40 ,$0.00 ,No,H0710,058,0,5.0,,,,,,,,,,,,
Texas,Travis,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$19.40 ,$100.00 ,Yes,H2593,031,0,3.0,,,,,*,,,,,,,
Texas,Travis,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Travis,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Travis,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,2,4.0,,,,,,,,,,,,
Texas,Travis,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Travis,UnitedHealthcare,UHC Dual Complete TX-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$23.10 ,$545.00 ,No,H4527,003,0,4.5,,,,,,,,,,,,
Texas,Travis,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Travis,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Travis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Travis,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Travis,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Travis,Wellpoint,Wellpoint Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,002,0,3.0,,,,,,,,,,,,
Texas,Travis,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Travis,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Travis,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Travis,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Travis,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Trinity,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Trinity,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Trinity,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Trinity,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Trinity,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Trinity,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Trinity,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Trinity,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Trinity,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Trinity,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Trinity,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Tyler,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Tyler,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Tyler,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Tyler,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Tyler,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Tyler,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Tyler,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Tyler,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Tyler,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Tyler,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,Tyler,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Tyler,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Tyler,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Upshur,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Upshur,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Upshur,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$13.50 ,$545.00 ,No,H4513,027,0,4.0,,,,,,,,,,,,
Texas,Upshur,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Upshur,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Upshur,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Upshur,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Upshur,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Upshur,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Upshur,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Upshur,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Upshur,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Upshur,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Upshur,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Upshur,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Upton,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Upton,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Upton,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Upton,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Upton,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Uvalde,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Uvalde,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Uvalde,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Uvalde,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Uvalde,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Uvalde,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Uvalde,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Uvalde,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Uvalde,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Uvalde,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Val Verde,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Val Verde,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Val Verde,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Val Verde,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Val Verde,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Val Verde,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Van Zandt,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Van Zandt,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Van Zandt,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Van Zandt,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$13.50 ,$545.00 ,No,H4513,027,0,4.0,,,,,,,,,,,,
Texas,Van Zandt,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,3,4.0,,,,,,,,,,,,
Texas,Van Zandt,UnitedHealthcare,UHC Dual Complete TX-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.90 ,$545.00 ,No,H4514,019,0,4.0,,,,,,,,,,,,
Texas,Van Zandt,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Van Zandt,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Van Zandt,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Van Zandt,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Van Zandt,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Van Zandt,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Van Zandt,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Van Zandt,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Van Zandt,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Van Zandt,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Van Zandt,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Van Zandt,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Victoria,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Victoria,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H2593,045,0,3.0,,,,,,,,,,,,
Texas,Victoria,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Victoria,UnitedHealthcare,UHC Complete Care TX-0018 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,041,0,4.5,,,,,,,,,,,,*
Texas,Victoria,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Victoria,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Victoria,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Victoria,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Victoria,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Victoria,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Victoria,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Victoria,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Victoria,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Victoria,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Walker,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Walker,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Walker,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Walker,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Walker,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Walker,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,044,0,3.0,,,,,,,,,,,,
Texas,Walker,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Walker,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Walker,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Walker,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Walker,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Walker,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Walker,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Walker,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Walker,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Walker,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Walker,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,3,Not enough data available,,,,,,,,,,,,
Texas,Walker,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Walker,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Walker,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Waller,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Waller,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Waller,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Waller,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Waller,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Waller,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Waller,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,1,4.0,,,,,,,,,,,,
Texas,Waller,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,1,4.0,,,,,,,,,,,,
Texas,Waller,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Waller,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Waller,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Waller,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Waller,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Waller,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Waller,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Waller,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Waller,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,1,Not enough data available,,,,,,,,,,,,
Texas,Waller,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Waller,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Waller,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Ward,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Ward,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Ward,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Ward,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Washington,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Washington,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Washington,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Washington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Washington,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Washington,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Washington,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Washington,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Washington,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Washington,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Washington,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Webb,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Webb,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,2,4.0,,,,,,,,,,,,
Texas,Webb,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Webb,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Webb,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Webb,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Webb,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Webb,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Webb,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Webb,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Webb,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Webb,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Webb,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Webb,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Webb,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Webb,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Wharton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Wharton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Wharton,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Wharton,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Wharton,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Wharton,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Wharton,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.30 ,$545.00 ,No,H2593,048,0,3.0,,,,,,,,,,,,
Texas,Wharton,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Wharton,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Wharton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Wharton,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Wharton,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Wharton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Wharton,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Wharton,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,003,0,4.0,,,,,,,,,,,,
Texas,Wharton,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,1,3.0,,,,,,,,,,,,
Texas,Wharton,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,1,3.0,,,,,,,,,,,,
Texas,Wharton,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Wharton,Community Health Choice,Community Health Choice (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H9826,002,1,Not enough data available,,,,,,,,,,,,
Texas,Wharton,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Wharton,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Wharton,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Wheeler,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Wheeler,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Wheeler,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Wheeler,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Wichita,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Wichita,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Wichita,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Wichita,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Wichita,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Wichita,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Wichita,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Wichita,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Wichita,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Wilbarger,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Wilbarger,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Wilbarger,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Wilbarger,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Willacy,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Willacy,Humana,Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.90 ,$545.00 ,No,H0028,045,0,4.0,,,,,,,,,,,,
Texas,Willacy,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,2,4.0,,,,,,,,,,,,
Texas,Willacy,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Willacy,UnitedHealthcare,UHC Dual Complete TX-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$544.00 ,No,H4527,015,0,4.5,,,,,,,,,,,,
Texas,Willacy,UnitedHealthcare,UHC Complete Care TX-0019 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,042,0,4.5,,,,,,,,,,,,*
Texas,Willacy,Texas Independence Health Plan,"Texas Independence Health Plan, Inc. (HMO I-SNP)",Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H5015,001,0,4.5,,,,,,,,,,,,
Texas,Willacy,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Willacy,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Willacy,UnitedHealthcare,UHC Dual Complete TX-V005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Enhanced,EA,$0.00 ,$544.00 ,No,H5322,026,0,4.0,,,,,,,,,,,,
Texas,Willacy,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Willacy,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Willacy,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Willacy,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Willacy,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Willacy,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Willacy,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Willacy,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Williamson,Humana,Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,044,0,4.0,,,,,,,,,,,,
Texas,Williamson,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$27.70 ,$545.00 ,No,H0174,004,0,3.0,,,,,,,,,,,,
Texas,Williamson,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.40 ,$545.00 ,No,H0174,006,0,3.0,,,,,,,,,,,,
Texas,Williamson,Wellcare,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$16.80 ,$545.00 ,No,H0174,022,0,3.0,,,,,,,,,,,,
Texas,Williamson,UnitedHealthcare,UHC Nursing Home Plan TX-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H0710,020,0,5.0,,,,,,,,,,,,
Texas,Williamson,Wellpoint,Wellpoint Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$19.40 ,$100.00 ,Yes,H2593,031,0,3.0,,,,,*,,,,,,,
Texas,Williamson,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Williamson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$24.90 ,$545.00 ,No,H2593,055,0,3.0,,,,,,,,,,,,
Texas,Williamson,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,2,4.0,,,,,,,,,,,,
Texas,Williamson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Williamson,UnitedHealthcare,UHC Dual Complete TX-V002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$23.10 ,$545.00 ,No,H4527,003,0,4.5,,,,,,,,,,,,
Texas,Williamson,UnitedHealthcare,UHC Complete Care TX-0016 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4527,039,0,4.5,,,,,,,,,,,,*
Texas,Williamson,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Williamson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Williamson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Williamson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Williamson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Williamson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Williamson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Wilson,Humana,Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,036,0,4.0,,,,,,,,,,,,
Texas,Wilson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,039,0,4.0,,,,,,,,,,,,*
Texas,Wilson,UnitedHealthcare,UHC Dual Complete TX-D005 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$17.50 ,$545.00 ,No,H0609,053,0,4.5,,,,,,,,,,,,
Texas,Wilson,UnitedHealthcare,UHC Complete Care TX-0024 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0609,058,0,4.5,,,,,,,,,,,,*
Texas,Wilson,UnitedHealthcare,UHC Dual Complete TX-V007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$21.70 ,$545.00 ,No,H0609,065,0,4.5,,,,,,,,,,,,
Texas,Wilson,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Wilson,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.80 ,$545.00 ,No,H2593,051,0,3.0,,,,,,,,,,,,
Texas,Wilson,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,4,4.0,,,,,,,,,,,,
Texas,Wilson,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Wilson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Wilson,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Wilson,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Wilson,Community First,Community First Medicare Advantage D-SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,BA,$28.40 ,$545.00 ,No,H5447,002,0,Not enough data available,,,,,,,,,,,,
Texas,Wilson,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Wilson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Wilson,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Wilson,Devoted Health,Devoted BE WELL San Antonio (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H7993,005,0,4.5,,,,*,,,,,,,,
Texas,Wilson,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Wilson,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Wilson,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Wilson,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Wilson,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Wilson,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Winkler,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Winkler,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Winkler,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Winkler,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Winkler,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Wise,Humana,Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,031,0,4.0,,,,,,,,,,,,
Texas,Wise,Humana,Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0028,032,0,4.0,,,,,,,,,,,,
Texas,Wise,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H0028,060,0,4.0,,,,,,,,,,,,*
Texas,Wise,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Wise,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H2593,043,0,3.0,,,,,*,,,,,,,
Texas,Wise,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H2593,054,0,3.0,,,,,,,,,,,,
Texas,Wise,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Wise,Cigna Healthcare,Cigna TotalCare (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$11.00 ,$545.00 ,No,H4513,060,5,4.0,,,,,,,,,,,,
Texas,Wise,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Wise,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Wise,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Wise,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Wise,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Wise,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Wise,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H7323,005,0,3.0,,,,,,,,,,,,
Texas,Wise,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Wise,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.00 ,$545.00 ,No,H8597,002,0,4.0,,,,,,,,,,,,
Texas,Wise,Wellpoint,Wellpoint Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,001,0,3.0,,,,,,,,,,,,*
Texas,Wise,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Wise,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Wise,Wellpoint,Wellpoint Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H8849,013,0,3.0,,,,,,,*,,,,,
Texas,Wise,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Wise,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Wise,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Wise,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Wood,Humana,HumanaChoice SNP-DE H0473-006 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H0473,006,0,3.5,,,,,,,,,,,,
Texas,Wood,UnitedHealthcare,UHC Dual Complete TX-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,013,3,4.0,,,,,,,,,,,,
Texas,Wood,UnitedHealthcare,UHC Dual Complete TX-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.90 ,$545.00 ,No,H4514,019,0,4.0,,,,,,,,,,,,
Texas,Wood,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Wood,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Wood,American Health Advantage of Texas,American Health Advantage of Texas (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H6891,001,0,Not enough data available,,,,,,,,,,,,
Texas,Wood,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Wood,Aetna Medicare,Aetna Medicare Dual Complete Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8597,001,0,4.0,,,,,,,,,,,,
Texas,Wood,Wellpoint,Wellpoint Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,010,2,3.0,,,,,,,,,,,,
Texas,Wood,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,2,3.0,,,,,,,,,,,,
Texas,Wood,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Wood,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Wood,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Wood,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Yoakum,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Yoakum,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Yoakum,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Yoakum,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Yoakum,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Young,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Young,Provider Partners Health Plans,Provider Partners Texas Advantage Plan (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$28.40 ,$545.00 ,No,H4054,001,0,Not enough data available,,,,,,,,,,,,
Texas,Young,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$15.30 ,$545.00 ,No,H5216,369,0,4.5,,,,,,,,,,,,
Texas,Young,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Young,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Young,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Young,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Zapata,UnitedHealthcare,UHC Dual Complete TX-S003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H4514,021,0,4.0,,,,,,,,,,,,
Texas,Zapata,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Zapata,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Zapata,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Zapata,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Zapata,"Molina Healthcare of Texas, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H7678,001,0,2.5,,,,,,,,,,,,
Texas,Zapata,Prominence Health Plan,Prominence Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Enhanced,EA,$28.40 ,$545.00 ,No,H7680,007,0,4.0,,,,,,,,,,,,
Texas,Zapata,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Zapata,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Zapata,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Zapata,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Texas,Zavala,Wellpoint,Wellpoint Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.10 ,$545.00 ,No,H2593,032,0,3.0,,,,,,,,,,,,
Texas,Zavala,Wellpoint,Wellpoint Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$26.50 ,$545.00 ,No,H2593,046,0,3.0,,,,,,,,,,,,
Texas,Zavala,Wellcare by Allwell,Wellcare Dual Liberty Nurture (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$22.60 ,$545.00 ,No,H5294,010,0,3.0,,,,,,,,,,,,
Texas,Zavala,Wellcare by Allwell,Wellcare Dual Access Harmony (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.80 ,$545.00 ,No,H5294,015,0,3.0,,,,,,,,,,,,
Texas,Zavala,UnitedHealthcare,UHC Dual Complete TX-D007 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,H5322,025,0,4.0,,,,,,,,,,,,
Texas,Zavala,UnitedHealthcare,UHC Dual Complete TX-V010 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$22.10 ,$545.00 ,No,H5322,038,0,4.0,,,,,,,,,,,,
Texas,Zavala,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$28.40 ,$545.00 ,No,H8849,011,3,3.0,,,,,,,,,,,,
Texas,Zavala,Blue Cross and Blue Shield of Texas,Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$21.40 ,$545.00 ,No,H9706,002,0,3.0,,,,,,,,,,,,
Texas,Zavala,UnitedHealthcare,UHC Complete Care TX-001A (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Basic,DS,$10.00 ,$545.00 ,No,R6801,008,0,3.5,,,,,,,,,,,,*
Texas,Zavala,UnitedHealthcare,UHC Complete Care TX-0029 (Regional PPO C-SNP),Regional PPO,Chronic or Disabling Condition,,,Enhanced,EA,$22.00 ,$295.00 ,Yes,R6801,009,0,3.5,,,,,,,,,,,,*
Texas,Zavala,UnitedHealthcare,UHC Dual Complete TX-S001 (Regional PPO D-SNP),Regional PPO,Dual-Eligible,HIDE,No,Basic,DS,$28.40 ,$545.00 ,No,R6801,011,0,3.5,,,,,,,,,,,,
Utah,Beaver,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Beaver,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Beaver,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Box Elder,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Box Elder,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Box Elder,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Box Elder,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Box Elder,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Box Elder,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Box Elder,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Box Elder,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Box Elder,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Box Elder,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Cache,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Cache,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Cache,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Cache,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Cache,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Cache,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Cache,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Cache,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Cache,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Cache,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Cache,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Carbon,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Carbon,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Carbon,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Carbon,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Carbon,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Daggett,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Daggett,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Daggett,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Davis,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Davis,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Davis,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Davis,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Davis,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H1994,015,0,5.0,,,,,,,,,,,,
Utah,Davis,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Davis,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Davis,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Davis,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Davis,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Davis,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Davis,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Duchesne,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Duchesne,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Duchesne,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Duchesne,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Duchesne,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Emery,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Emery,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Emery,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Garfield,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Garfield,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Garfield,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Grand,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Grand,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Grand,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Grand,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Iron,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Iron,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Iron,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Iron,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Iron,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H1994,015,0,5.0,,,,,,,,,,,,
Utah,Iron,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Iron,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Iron,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Iron,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Iron,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Iron,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Iron,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Juab,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Juab,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Juab,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Juab,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Kane,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Kane,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Kane,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Millard,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Millard,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Millard,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Morgan,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Morgan,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Morgan,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Morgan,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Morgan,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Morgan,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Piute,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Piute,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Piute,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Rich,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Rich,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Rich,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Rich,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Salt Lake,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Salt Lake,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Salt Lake,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Salt Lake,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Salt Lake,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H1994,015,0,5.0,,,,,,,,,,,,
Utah,Salt Lake,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Salt Lake,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Salt Lake,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Salt Lake,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Salt Lake,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Salt Lake,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Salt Lake,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,San Juan,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Sanpete,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Sanpete,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Sanpete,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Sanpete,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Sevier,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Sevier,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Sevier,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Summit,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Summit,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Summit,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Summit,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Summit,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Summit,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Tooele,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Tooele,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Tooele,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Tooele,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Tooele,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Tooele,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Tooele,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Tooele,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Tooele,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Tooele,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Uintah,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Uintah,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Uintah,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Uintah,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Utah,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Utah,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Utah,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Utah,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Utah,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H1994,015,0,5.0,,,,,,,,,,,,
Utah,Utah,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Utah,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Utah,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Utah,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Utah,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Utah,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Utah,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Wasatch,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Wasatch,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Wasatch,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Wasatch,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Wasatch,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Wasatch,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Wasatch,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Washington,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Washington,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Washington,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Washington,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Washington,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H1994,015,0,5.0,,,,,,,,,,,,
Utah,Washington,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Washington,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Washington,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Washington,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Washington,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Washington,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Washington,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Utah,Wayne,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Wayne,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Weber,UnitedHealthcare,UHC Dual Complete UT-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,038,0,4.0,,,,,,,,,,,,
Utah,Weber,UnitedHealthcare,UHC Dual Complete UT-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H0271,039,0,4.0,,,,,,,,,,,,
Utah,Weber,UnitedHealthcare,UHC Nursing Home Plan UT-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$37.00 ,$545.00 ,No,H0710,051,0,5.0,,,,,,,,,,,,
Utah,Weber,UnitedHealthcare,UHC Care Advantage UT-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$44.00 ,$0.00 ,No,H0710,069,0,5.0,,,,,,,,,,,,
Utah,Weber,Select Health,Select Health Medicare Dual (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H1994,015,0,5.0,,,,,,,,,,,,
Utah,Weber,American Health Advantage of Utah,American Health Advantage of Utah (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$44.40 ,$545.00 ,No,H4232,001,0,Not enough data available,,,,,,,,,,,,
Utah,Weber,UnitedHealthcare,UHC Complete Care UT-0006 (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H4604,017,0,4.5,,,,,,,,,,,,*
Utah,Weber,Humana,HumanaChoice SNP-DE H5216-296 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5216,296,0,4.5,,,,,,,,,,,,
Utah,Weber,Aetna Medicare,Aetna Medicare Dual Preferred Plan (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$39.60 ,$545.00 ,No,H5521,398,0,4.0,,,,,,,,,,,,
Utah,Weber,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$44.40 ,$545.00 ,No,H5628,001,0,3.0,,,,,,,,,,,,
Utah,Weber,Molina Healthcare of Utah & Idaho,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.80 ,$545.00 ,No,H5628,012,0,3.0,,,,,,,,,,,,
Utah,Weber,Aetna Medicare,Aetna Medicare Dual Preferred Plan (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$36.10 ,$545.00 ,No,H8649,010,0,3.5,,,,,,,,,,,,
Virginia,Accomack,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Accomack,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Accomack,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Accomack,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Accomack,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Accomack,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Accomack,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Accomack,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Accomack,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Accomack,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Accomack,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Accomack,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Accomack,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Accomack,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Accomack,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Accomack,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Accomack,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Accomack,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Albemarle,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Albemarle,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Albemarle,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Albemarle,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Albemarle,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Albemarle,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Albemarle,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Albemarle,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Albemarle,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Albemarle,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Albemarle,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Albemarle,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Albemarle,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Albemarle,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Albemarle,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Albemarle,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Albemarle,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Albemarle,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Albemarle,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Albemarle,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Alexandria City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Alexandria City,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Alexandria City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Alexandria City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Alexandria City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Alexandria City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Alexandria City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Alexandria City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Alexandria City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Alexandria City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Alexandria City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Alexandria City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Alexandria City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Alexandria City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Alleghany,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Alleghany,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Alleghany,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Alleghany,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Alleghany,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Alleghany,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Alleghany,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Alleghany,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Alleghany,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Alleghany,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Alleghany,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Alleghany,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Alleghany,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Alleghany,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Alleghany,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Amelia,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Amelia,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Amelia,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Amelia,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Amelia,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Amelia,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Amelia,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Amelia,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Amelia,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Amelia,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Amelia,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Amelia,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Amelia,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Amelia,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Amelia,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Amelia,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Amelia,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Amelia,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Amelia,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Amelia,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Amelia,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Amelia,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Amelia,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Amherst,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Amherst,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Amherst,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Amherst,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Amherst,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Amherst,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Amherst,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Amherst,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Amherst,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Amherst,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Amherst,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Amherst,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Amherst,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Amherst,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Amherst,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Amherst,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Amherst,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Amherst,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Amherst,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Amherst,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Amherst,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Amherst,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Amherst,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Amherst,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Appomattox,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Appomattox,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Appomattox,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Appomattox,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Appomattox,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Appomattox,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Appomattox,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Appomattox,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Appomattox,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Appomattox,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Appomattox,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Appomattox,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Appomattox,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Appomattox,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Appomattox,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Appomattox,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Appomattox,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Arlington,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Arlington,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Arlington,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Arlington,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Arlington,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Arlington,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Arlington,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Arlington,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Arlington,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Arlington,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Arlington,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Arlington,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Arlington,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Arlington,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Arlington,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Arlington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Arlington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Arlington,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Arlington,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Arlington,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Arlington,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Arlington,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Arlington,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Arlington,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Arlington,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Augusta,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Augusta,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Augusta,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Augusta,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Augusta,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Augusta,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Augusta,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Augusta,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Augusta,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Augusta,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Augusta,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Augusta,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Augusta,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Augusta,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Augusta,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Augusta,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Augusta,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Augusta,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Augusta,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Augusta,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Augusta,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Augusta,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Augusta,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Augusta,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Augusta,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Bath,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Bath,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Bath,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Bath,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Bath,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Bath,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Bath,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Bath,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Bath,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Bath,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Bath,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Bath,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Bath,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Bath,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Bath,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Bath,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Bath,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Bath,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Bath,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Bath,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Bath,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Bath,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Bath,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Bedford,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Bedford,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Bedford,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Bedford,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Bedford,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Bedford,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Bedford,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Bedford,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Bedford,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Bedford,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Bedford,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Bedford,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Bedford,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Bedford,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Bedford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Bedford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Bedford,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Bedford,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Bedford,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Bedford,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Bedford,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Bedford,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Bedford,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Bland,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Bland,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Bland,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Bland,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Bland,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Bland,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Bland,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Bland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Bland,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Bland,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Bland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Bland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Bland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Bland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Bland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Bland,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Bland,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Bland,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Bland,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Bland,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Bland,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Bland,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Bland,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Botetourt,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Botetourt,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Botetourt,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Botetourt,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Botetourt,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Botetourt,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Botetourt,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Botetourt,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Botetourt,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Botetourt,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Botetourt,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Botetourt,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Botetourt,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Botetourt,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Botetourt,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Bristol City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Bristol City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Bristol City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Bristol City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Bristol City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Bristol City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Bristol City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Bristol City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Bristol City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Bristol City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Bristol City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Bristol City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Brunswick,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Brunswick,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Brunswick,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Brunswick,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Brunswick,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Brunswick,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Brunswick,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Brunswick,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Brunswick,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Brunswick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Brunswick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Brunswick,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Brunswick,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Brunswick,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Brunswick,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Buchanan,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Buchanan,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Buchanan,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Buchanan,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Buchanan,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Buchanan,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Buchanan,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Buchanan,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Buchanan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Buchanan,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Buchanan,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Buchanan,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Buckingham,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Buckingham,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Buckingham,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Buckingham,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Buckingham,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Buckingham,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Buckingham,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Buckingham,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Buckingham,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Buckingham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Buckingham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Buckingham,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Buckingham,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Buckingham,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Buckingham,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Buena Vista City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Buena Vista City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Buena Vista City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Buena Vista City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Buena Vista City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Buena Vista City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Buena Vista City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Buena Vista City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Buena Vista City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Buena Vista City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Buena Vista City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Buena Vista City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Buena Vista City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Buena Vista City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Buena Vista City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Campbell,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Campbell,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Campbell,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Campbell,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Campbell,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Campbell,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Campbell,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Campbell,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Campbell,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Campbell,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Campbell,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Campbell,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Campbell,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Campbell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Campbell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Campbell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Campbell,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Campbell,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Campbell,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Campbell,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Campbell,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Campbell,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Campbell,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Campbell,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Caroline,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Caroline,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Caroline,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Caroline,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Caroline,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Caroline,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Caroline,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Caroline,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Caroline,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Caroline,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Caroline,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Caroline,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Caroline,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Caroline,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Caroline,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Caroline,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Caroline,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Caroline,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Caroline,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Caroline,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Caroline,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Caroline,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Caroline,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Caroline,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Caroline,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Caroline,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Carroll,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Carroll,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Carroll,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Carroll,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Carroll,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Carroll,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Carroll,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Carroll,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Carroll,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Carroll,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Carroll,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Carroll,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Carroll,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Carroll,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Carroll,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Carroll,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Carroll,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Carroll,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Carroll,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Carroll,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Carroll,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Carroll,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Carroll,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Charles City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Charles City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Charles City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Charles City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Charles City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Charles City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Charles City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Charles City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Charles City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Charles City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Charles City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Charles City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Charles City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Charles City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Charles City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Charles City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Charles City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Charles City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Charles City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Charles City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Charles City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Charles City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Charles City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Charles City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Charlotte,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Charlotte,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Charlotte,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Charlotte,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Charlotte,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Charlotte,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Charlotte,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Charlotte,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Charlotte,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Charlotte,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Charlotte,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Charlotte,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Charlotte,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Charlotte,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Charlotte,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Charlottesville City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Charlottesville City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Charlottesville City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Charlottesville City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Charlottesville City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Charlottesville City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Charlottesville City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Charlottesville City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Charlottesville City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Charlottesville City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Charlottesville City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Charlottesville City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Charlottesville City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Charlottesville City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Charlottesville City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Charlottesville City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Charlottesville City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Chesapeake City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Chesapeake City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Chesapeake City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Chesapeake City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Chesapeake City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Chesapeake City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Chesapeake City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Chesapeake City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Chesapeake City,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Chesapeake City,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Chesapeake City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Chesapeake City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Chesapeake City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Chesapeake City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Chesapeake City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Chesapeake City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Chesapeake City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Chesapeake City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Chesapeake City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Chesapeake City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Chesapeake City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Chesapeake City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Chesapeake City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Chesterfield,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Chesterfield,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Chesterfield,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Chesterfield,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Chesterfield,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Chesterfield,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Chesterfield,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Chesterfield,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Chesterfield,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Chesterfield,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Chesterfield,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Chesterfield,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Chesterfield,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Chesterfield,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Chesterfield,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Chesterfield,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Chesterfield,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Chesterfield,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Chesterfield,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Chesterfield,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Chesterfield,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Chesterfield,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Chesterfield,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Clarke,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Clarke,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Clarke,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Clarke,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Clarke,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Clarke,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Clarke,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Clarke,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Clarke,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Clarke,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Clarke,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Clarke,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Clarke,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Clarke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Clarke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Clarke,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Clarke,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Clarke,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Clarke,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Clarke,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Clarke,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Clarke,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Clarke,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Colonial Heights City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Colonial Heights City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Colonial Heights City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Colonial Heights City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Colonial Heights City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Colonial Heights City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Colonial Heights City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Colonial Heights City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Colonial Heights City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Colonial Heights City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Colonial Heights City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Colonial Heights City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Covington City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Covington City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Covington City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Covington City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Covington City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Covington City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Covington City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Covington City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Covington City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Covington City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Covington City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Covington City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Covington City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Covington City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Covington City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Covington City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Covington City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Covington City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Covington City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Covington City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Covington City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Covington City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Covington City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Craig,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Craig,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Craig,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Craig,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Craig,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Craig,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Craig,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Craig,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Craig,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Craig,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Craig,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Craig,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Craig,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Craig,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Craig,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Craig,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Craig,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Craig,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Craig,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Craig,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Craig,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Craig,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Craig,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Culpeper,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Culpeper,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Culpeper,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Culpeper,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Culpeper,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Culpeper,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Culpeper,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Culpeper,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Culpeper,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Culpeper,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Culpeper,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Culpeper,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Culpeper,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Culpeper,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Culpeper,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Culpeper,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Cumberland,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Cumberland,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Cumberland,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Cumberland,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Cumberland,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Cumberland,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Cumberland,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Cumberland,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Cumberland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Cumberland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Cumberland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Cumberland,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Cumberland,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Cumberland,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Cumberland,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Danville City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Danville City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Danville City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Danville City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Danville City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Danville City,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Danville City,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Danville City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Danville City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Danville City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Danville City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Danville City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Danville City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Danville City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Danville City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Danville City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Danville City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Danville City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Danville City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Danville City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Danville City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Danville City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Danville City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Danville City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Danville City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Danville City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Dickenson,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Dickenson,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Dickenson,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Dickenson,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Dickenson,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Dickenson,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Dickenson,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Dickenson,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Dickenson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Dickenson,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Dickenson,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Dickenson,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Dinwiddie,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Dinwiddie,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Dinwiddie,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Dinwiddie,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Dinwiddie,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Dinwiddie,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Dinwiddie,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Dinwiddie,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Dinwiddie,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Dinwiddie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Dinwiddie,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Dinwiddie,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Dinwiddie,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Dinwiddie,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Dinwiddie,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Emporia City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Emporia City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Emporia City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Emporia City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Emporia City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Emporia City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Emporia City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Emporia City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Emporia City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Emporia City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Emporia City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Emporia City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Emporia City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Emporia City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Emporia City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Essex,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Essex,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Essex,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Essex,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Essex,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Essex,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Essex,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Essex,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Essex,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Essex,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Essex,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Essex,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Essex,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Essex,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Essex,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Essex,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Essex,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Essex,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Essex,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Essex,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Essex,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Essex,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Essex,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Fairfax,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Fairfax,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Fairfax,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Fairfax,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Fairfax,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Fairfax,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Fairfax,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Fairfax,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Fairfax,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Fairfax,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Fairfax,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Virginia,Fairfax,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Virginia,Fairfax,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Fairfax,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Fairfax,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Fairfax,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Fairfax City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Fairfax City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Fairfax City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Fairfax City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Fairfax City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Fairfax City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Fairfax City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Fairfax City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Fairfax City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Fairfax City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Fairfax City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Fairfax City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Fairfax City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Fairfax City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Falls Church City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Falls Church City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Falls Church City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Falls Church City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Falls Church City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Falls Church City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Falls Church City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Falls Church City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Falls Church City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Falls Church City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Falls Church City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Falls Church City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Falls Church City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Fauquier,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Fauquier,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Fauquier,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Fauquier,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Fauquier,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Fauquier,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Fauquier,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Fauquier,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Fauquier,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Fauquier,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Fauquier,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Fauquier,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Fauquier,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Fauquier,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Floyd,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Floyd,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Floyd,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Floyd,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Floyd,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Floyd,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Floyd,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Floyd,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Floyd,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Floyd,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Floyd,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Floyd,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Floyd,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Floyd,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Floyd,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Floyd,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Floyd,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Floyd,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Floyd,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Floyd,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Floyd,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Floyd,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Floyd,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Fluvanna,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Fluvanna,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Fluvanna,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Fluvanna,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Fluvanna,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Fluvanna,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Fluvanna,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Fluvanna,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Fluvanna,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Fluvanna,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Fluvanna,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Fluvanna,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Fluvanna,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Fluvanna,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Franklin,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Franklin,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Franklin,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Franklin,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Franklin,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Franklin,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Franklin,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Franklin,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Franklin,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Franklin,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Franklin,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Franklin,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Franklin,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Franklin,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Franklin,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Franklin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Franklin,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Franklin,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Franklin,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Franklin,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Franklin,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Franklin,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Franklin,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Franklin,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Franklin,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Franklin,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Franklin City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Franklin City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Franklin City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Franklin City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Franklin City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Franklin City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Franklin City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Franklin City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Franklin City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Franklin City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Franklin City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Franklin City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Franklin City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Franklin City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Franklin City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Franklin City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Frederick,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Frederick,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Frederick,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Frederick,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Frederick,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Frederick,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Frederick,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Frederick,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Frederick,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Frederick,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Frederick,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Frederick,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Frederick,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Frederick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Frederick,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Frederick,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Frederick,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Frederick,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Frederick,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Frederick,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Frederick,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Fredericksburg City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Fredericksburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Fredericksburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Fredericksburg City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Fredericksburg City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Fredericksburg City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Fredericksburg City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Fredericksburg City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Fredericksburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Fredericksburg City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Fredericksburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Fredericksburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Galax City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Galax City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Galax City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Galax City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Galax City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Galax City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Galax City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Galax City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Galax City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Galax City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Galax City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Galax City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Galax City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Galax City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Galax City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Galax City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Galax City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Galax City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Galax City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Galax City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Galax City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Galax City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Galax City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Galax City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Giles,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Giles,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Giles,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Giles,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Giles,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Giles,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Giles,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Giles,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Giles,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Giles,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Giles,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Giles,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Giles,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Giles,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Giles,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Giles,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Giles,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Giles,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Giles,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Giles,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Giles,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Giles,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Giles,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Gloucester,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Gloucester,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Gloucester,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Gloucester,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Gloucester,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Gloucester,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Gloucester,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Gloucester,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Gloucester,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Gloucester,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Gloucester,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Gloucester,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Gloucester,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Gloucester,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Gloucester,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Gloucester,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Gloucester,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Goochland,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Goochland,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Goochland,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Goochland,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Goochland,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Goochland,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Goochland,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Goochland,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Goochland,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Goochland,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Goochland,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Goochland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Goochland,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Goochland,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Goochland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Goochland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Goochland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Goochland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Goochland,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Virginia,Goochland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Goochland,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Goochland,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Goochland,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Goochland,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Goochland,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Goochland,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Goochland,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Goochland,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Grayson,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Grayson,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Grayson,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Grayson,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Grayson,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Grayson,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Grayson,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Grayson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Grayson,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Grayson,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Grayson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Grayson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Grayson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Grayson,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Grayson,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Grayson,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Grayson,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Grayson,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Grayson,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Grayson,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Grayson,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Greene,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Greene,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Greene,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Greene,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Greene,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Greene,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Greene,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Greene,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Greene,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Greene,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Greene,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Greene,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Greene,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Greene,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Greene,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Greene,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Greene,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Greene,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Greene,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Greene,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Greene,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Greene,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Greene,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Greensville,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Greensville,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Greensville,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Greensville,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Greensville,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Greensville,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Greensville,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Greensville,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Greensville,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Greensville,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Greensville,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Greensville,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Greensville,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Greensville,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Greensville,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Greensville,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Greensville,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Greensville,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Greensville,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Greensville,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Greensville,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Greensville,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Greensville,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Halifax,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Halifax,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Halifax,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Halifax,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Halifax,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Halifax,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Halifax,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Halifax,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Halifax,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Halifax,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Halifax,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Halifax,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Halifax,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Halifax,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Halifax,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Halifax,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Halifax,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Halifax,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Halifax,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Halifax,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Halifax,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Halifax,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Halifax,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Halifax,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Hampton City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Hampton City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Hampton City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Hampton City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Hampton City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Hampton City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Hampton City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Hampton City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Hampton City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Hampton City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Hampton City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Hampton City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Hampton City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Hampton City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Hampton City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Hampton City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Hampton City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Hampton City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Hampton City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Hampton City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Hampton City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Hanover,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Hanover,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Hanover,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Hanover,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Hanover,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Hanover,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Hanover,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Hanover,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Hanover,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Hanover,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Hanover,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Hanover,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Hanover,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Hanover,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Hanover,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Hanover,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Hanover,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Hanover,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Hanover,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Hanover,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Hanover,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Hanover,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Hanover,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Hanover,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Hanover,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Hanover,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Hanover,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Hanover,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Hanover,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Hanover,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Harrisonburg City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Harrisonburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Harrisonburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Harrisonburg City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Harrisonburg City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Harrisonburg City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Harrisonburg City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Harrisonburg City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Harrisonburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Harrisonburg City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Harrisonburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Harrisonburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Harrisonburg City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Henrico,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Henrico,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Henrico,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Henrico,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Henrico,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Henrico,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Henrico,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Henrico,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Henrico,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Henrico,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Henrico,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Henrico,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Henrico,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Henrico,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Henrico,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Henrico,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Henrico,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Henrico,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Henrico,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Henrico,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Henrico,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Henrico,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Henrico,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Henrico,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Henrico,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Henrico,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Henrico,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Henrico,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Henrico,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Henrico,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Henrico,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Henrico,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Henrico,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Henrico,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Henry,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Henry,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Henry,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Henry,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Henry,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Henry,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Henry,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Henry,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Henry,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Henry,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Henry,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Henry,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Henry,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Henry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Henry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Henry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Henry,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Henry,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Henry,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Henry,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Henry,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Henry,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Henry,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Highland,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Highland,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Highland,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Highland,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Highland,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Highland,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Highland,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Highland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Highland,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Highland,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Highland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Highland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Highland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Highland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Highland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Highland,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Highland,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Highland,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Highland,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Highland,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Highland,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Highland,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Highland,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Hopewell City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Hopewell City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Hopewell City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Hopewell City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Hopewell City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Hopewell City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Hopewell City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Hopewell City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Hopewell City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Hopewell City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Hopewell City,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Hopewell City,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Hopewell City,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Hopewell City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Hopewell City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Hopewell City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Hopewell City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Hopewell City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Hopewell City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Hopewell City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Hopewell City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Hopewell City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Isle of Wight,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Isle of Wight,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Isle of Wight,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Isle of Wight,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Isle of Wight,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Isle of Wight,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Isle of Wight,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Isle of Wight,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Isle of Wight,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Isle of Wight,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Isle of Wight,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Isle of Wight,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Isle of Wight,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Isle of Wight,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Isle of Wight,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Isle of Wight,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,James City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,James City,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,James City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,James City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,James City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,James City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,James City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,James City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,James City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,James City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,James City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,James City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,James City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,James City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,James City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,James City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,James City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,James City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,James City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,James City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,James City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,James City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,James City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,James City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,James City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,James City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,James City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,King George,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,King George,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,King George,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,King George,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,King George,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,King George,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,King George,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,King George,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,King George,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,King George,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,King George,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,King George,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,King George,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,King George,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,King George,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,King George,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,King George,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,King George,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,King George,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,King George,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,King George,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,King George,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,King William,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,King William,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,King William,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,King William,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,King William,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,King William,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,King William,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,King William,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,King William,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,King William,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,King William,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,King William,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,King William,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,King William,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,King William,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,King William,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,King William,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,King William,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,King William,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,King William,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,King William,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,King William,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,King William,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,King and Queen,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,King and Queen,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,King and Queen,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,King and Queen,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,King and Queen,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,King and Queen,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,King and Queen,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,King and Queen,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,King and Queen,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,King and Queen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,King and Queen,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,King and Queen,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,King and Queen,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,King and Queen,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,King and Queen,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Lancaster,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Lancaster,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Lancaster,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Lancaster,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Lancaster,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Lancaster,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Lancaster,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Lancaster,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Lancaster,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Lancaster,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Lancaster,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Lancaster,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Lancaster,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Lancaster,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Lancaster,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Lancaster,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Lee,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Lee,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Lee,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Lee,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Lee,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Lee,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Lee,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Lee,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Lee,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Lee,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Lee,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Lee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Lee,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Lee,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Lee,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Lee,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Lee,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Lee,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Lee,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Lee,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Lexington City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Lexington City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Lexington City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Lexington City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Lexington City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Lexington City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Lexington City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Lexington City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Lexington City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Lexington City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Lexington City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Lexington City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Lexington City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Lexington City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Lexington City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Loudoun,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Loudoun,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Loudoun,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Loudoun,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Loudoun,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Loudoun,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Loudoun,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Loudoun,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Loudoun,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Loudoun,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Loudoun,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Loudoun,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Loudoun,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Loudoun,UnitedHealthcare,Erickson Advantage Guardian (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H5652,003,0,5.0,,,,,,,,,,,,
Virginia,Loudoun,UnitedHealthcare,Erickson Advantage Champion (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$188.00 ,$0.00 ,Yes,H5652,004,0,5.0,*,*,,*,,,,,,,,
Virginia,Loudoun,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Loudoun,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Loudoun,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Loudoun,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Louisa,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Louisa,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Louisa,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Louisa,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Louisa,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Louisa,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Louisa,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Louisa,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Louisa,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Louisa,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Louisa,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Louisa,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Louisa,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Louisa,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Louisa,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Louisa,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Louisa,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Louisa,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Louisa,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Louisa,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Louisa,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Louisa,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Louisa,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Louisa,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Lunenburg,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Lunenburg,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Lunenburg,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Lunenburg,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Lunenburg,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Lunenburg,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Lunenburg,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Lunenburg,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Lunenburg,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Lunenburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Lunenburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Lunenburg,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Lunenburg,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Lunenburg,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Lunenburg,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Lynchburg City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Lynchburg City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Lynchburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Lynchburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Lynchburg City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Lynchburg City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Lynchburg City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Lynchburg City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Lynchburg City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Lynchburg City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Lynchburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Lynchburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Lynchburg City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Lynchburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Lynchburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Madison,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Madison,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Madison,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Madison,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Madison,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Madison,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Madison,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Madison,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Madison,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Madison,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Madison,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Madison,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Madison,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Madison,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Madison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Madison,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Madison,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Madison,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Madison,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Madison,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Madison,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Madison,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Madison,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Madison,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Manassas City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Manassas City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Manassas City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Manassas City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Manassas City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Manassas City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Manassas City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Manassas City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Manassas City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Manassas City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Manassas City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Manassas City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Manassas City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Manassas City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Manassas City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Manassas Park City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Manassas Park City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Manassas Park City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Manassas Park City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Manassas Park City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Manassas Park City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Manassas Park City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Manassas Park City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Manassas Park City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Manassas Park City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Manassas Park City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Manassas Park City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Manassas Park City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Manassas Park City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Martinsville City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Martinsville City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Martinsville City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Martinsville City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Martinsville City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Martinsville City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Martinsville City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Martinsville City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Martinsville City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Martinsville City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Martinsville City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Martinsville City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Martinsville City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Martinsville City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Mathews,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Mathews,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Mathews,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Mathews,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Mathews,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Mathews,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Mathews,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Mathews,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Mathews,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Mathews,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Mathews,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Mathews,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Mathews,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Mathews,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Mathews,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Mathews,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Mathews,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Mathews,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Mathews,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Mathews,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Mathews,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Mathews,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Mathews,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Mathews,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Mathews,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Mecklenburg,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Mecklenburg,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Mecklenburg,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Mecklenburg,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Mecklenburg,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Mecklenburg,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Mecklenburg,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Mecklenburg,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Mecklenburg,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Mecklenburg,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Mecklenburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Mecklenburg,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Mecklenburg,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Mecklenburg,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Mecklenburg,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Mecklenburg,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Middlesex,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Middlesex,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Middlesex,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Middlesex,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Middlesex,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Middlesex,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Middlesex,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Middlesex,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Middlesex,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Middlesex,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Middlesex,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Middlesex,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Middlesex,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Middlesex,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Middlesex,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Montgomery,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Montgomery,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Montgomery,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Montgomery,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Montgomery,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Montgomery,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Montgomery,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Montgomery,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Montgomery,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Montgomery,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Montgomery,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Montgomery,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Montgomery,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Montgomery,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Montgomery,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Nelson,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Nelson,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Nelson,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Nelson,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Nelson,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Nelson,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Nelson,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Nelson,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Nelson,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Nelson,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Nelson,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Nelson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Nelson,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Nelson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Nelson,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Nelson,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Nelson,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Nelson,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Nelson,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Nelson,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Nelson,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Nelson,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Nelson,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,New Kent,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,New Kent,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,New Kent,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,New Kent,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,New Kent,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,New Kent,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,New Kent,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,New Kent,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,New Kent,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,New Kent,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,New Kent,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,New Kent,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,New Kent,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,New Kent,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,New Kent,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,New Kent,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,New Kent,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,New Kent,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,New Kent,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,New Kent,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,New Kent,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,New Kent,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,New Kent,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Newport News City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Newport News City,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Newport News City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Newport News City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Newport News City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Newport News City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Newport News City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Newport News City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Newport News City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Newport News City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Newport News City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Newport News City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Newport News City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Newport News City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Newport News City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Newport News City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Newport News City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Newport News City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Newport News City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Norfolk City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Norfolk City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Norfolk City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Norfolk City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Norfolk City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Norfolk City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Norfolk City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Norfolk City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Norfolk City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Norfolk City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Norfolk City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Norfolk City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Norfolk City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Norfolk City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Norfolk City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Norfolk City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Norfolk City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Norfolk City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Norfolk City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Norfolk City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Norfolk City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Northampton,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Northampton,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Northampton,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Northampton,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Northampton,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Northampton,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Northampton,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Northampton,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Northampton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Northampton,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Northampton,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Northampton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Northampton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Northampton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Northampton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Northampton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Northampton,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Northampton,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Northampton,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Northampton,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Northampton,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Northampton,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Northampton,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Northumberland,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Northumberland,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Northumberland,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Northumberland,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Northumberland,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Northumberland,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Northumberland,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Northumberland,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Northumberland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Northumberland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Northumberland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Northumberland,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Northumberland,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Northumberland,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Norton City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Norton City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Norton City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Norton City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Norton City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Norton City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Norton City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Norton City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Norton City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Norton City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Norton City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Norton City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Norton City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Norton City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Norton City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Norton City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Norton City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Norton City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Norton City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Norton City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Nottoway,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Nottoway,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Nottoway,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Nottoway,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Nottoway,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Nottoway,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Nottoway,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Nottoway,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Nottoway,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Nottoway,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Nottoway,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Nottoway,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Nottoway,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Nottoway,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Nottoway,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Orange,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Orange,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Orange,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Orange,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Orange,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Orange,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Orange,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Orange,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Orange,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Orange,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Orange,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Orange,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Orange,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Orange,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Orange,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Orange,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Orange,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Orange,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Orange,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Orange,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Orange,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Orange,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Page,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Page,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Page,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Page,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Page,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Page,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Page,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Page,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Page,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Page,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Page,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Page,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Page,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Page,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Page,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Page,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Page,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Page,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Page,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Page,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Page,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Page,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Page,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Patrick,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Patrick,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Patrick,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Patrick,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Patrick,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Patrick,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Patrick,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Patrick,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Patrick,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Patrick,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Patrick,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Patrick,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Patrick,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Patrick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Patrick,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Patrick,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Patrick,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Patrick,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Patrick,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Patrick,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Patrick,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Patrick,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Patrick,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Petersburg City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Petersburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Petersburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Petersburg City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Petersburg City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Petersburg City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Petersburg City,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Petersburg City,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Petersburg City,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Petersburg City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Petersburg City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Petersburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Petersburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Petersburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Petersburg City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Petersburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Petersburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Petersburg City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Pittsylvania,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Pittsylvania,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Pittsylvania,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Pittsylvania,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Pittsylvania,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Pittsylvania,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Pittsylvania,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Pittsylvania,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Pittsylvania,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Pittsylvania,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Pittsylvania,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Pittsylvania,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Pittsylvania,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Pittsylvania,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Pittsylvania,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Pittsylvania,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Pittsylvania,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Pittsylvania,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Poquoson City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Poquoson City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Poquoson City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Poquoson City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Poquoson City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Poquoson City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Poquoson City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Poquoson City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Poquoson City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Poquoson City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Poquoson City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Poquoson City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Poquoson City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Poquoson City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Poquoson City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Poquoson City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Portsmouth City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Portsmouth City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Portsmouth City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Portsmouth City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Portsmouth City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Portsmouth City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Portsmouth City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Portsmouth City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Portsmouth City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Portsmouth City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Portsmouth City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Portsmouth City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Portsmouth City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Portsmouth City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Portsmouth City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Portsmouth City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Portsmouth City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Portsmouth City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Portsmouth City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Portsmouth City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Portsmouth City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Powhatan,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Powhatan,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Powhatan,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Powhatan,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Powhatan,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Powhatan,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Powhatan,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Powhatan,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Powhatan,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Powhatan,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Powhatan,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Powhatan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Powhatan,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Powhatan,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Powhatan,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Powhatan,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Powhatan,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Prince Edward,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Prince Edward,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Prince Edward,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Prince Edward,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Prince Edward,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Prince Edward,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Prince Edward,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Prince Edward,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Prince Edward,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Prince Edward,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Prince Edward,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Prince Edward,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Prince Edward,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Prince Edward,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Prince Edward,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Prince Edward,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Prince George,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Prince George,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Prince George,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Prince George,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Prince George,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Prince George,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Prince George,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Prince George,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Prince George,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Prince George,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Prince George,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Prince George,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Prince George,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Prince George,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Prince George,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Prince George,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Prince George,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Prince George,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Prince George,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Prince George,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Prince George,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Prince George,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Prince George,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Prince William,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Prince William,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Prince William,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Prince William,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Prince William,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Prince William,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Prince William,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Prince William,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Prince William,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Prince William,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Prince William,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Prince William,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Prince William,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Prince William,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Prince William,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Prince William,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Prince William,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Prince William,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Prince William,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Prince William,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Prince William,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Prince William,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Prince William,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Prince William,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Prince William,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Pulaski,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Pulaski,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Pulaski,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Pulaski,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Pulaski,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Pulaski,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Pulaski,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Pulaski,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Pulaski,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Pulaski,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Pulaski,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Pulaski,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Pulaski,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Pulaski,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Pulaski,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Pulaski,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Pulaski,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Radford City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Radford City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Radford City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Radford City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Radford City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Radford City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Radford City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Radford City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Radford City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Radford City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Radford City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Radford City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Radford City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Radford City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Radford City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Radford City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Radford City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Radford City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Radford City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Radford City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Radford City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Radford City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Radford City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Rappahannock,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Rappahannock,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Rappahannock,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Rappahannock,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Rappahannock,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Rappahannock,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Rappahannock,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Rappahannock,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Rappahannock,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Rappahannock,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Rappahannock,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Rappahannock,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Rappahannock,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Rappahannock,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Rappahannock,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Richmond,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Richmond,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Richmond,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Richmond,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Richmond,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Richmond,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Richmond,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Richmond,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Richmond,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Richmond,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Richmond,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Richmond,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Richmond,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Richmond,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Richmond,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Richmond,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Richmond,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Richmond,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Richmond,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Richmond,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Richmond,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Richmond,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Richmond,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Richmond City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Richmond City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Richmond City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Richmond City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Richmond City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Richmond City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Richmond City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Richmond City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Richmond City,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Richmond City,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Richmond City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Richmond City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Richmond City,Anthem HealthKeepers,Anthem I Carelon Lung Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,003,0,3.5,,,,,,,*,,,,,
Virginia,Richmond City,Anthem HealthKeepers,Anthem I Carelon Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,004,0,3.5,,,,,,,,,,,,*
Virginia,Richmond City,Anthem HealthKeepers,Anthem I Carelon Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,010,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Richmond City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Richmond City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Richmond City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Richmond City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Richmond City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Richmond City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Richmond City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Richmond City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Richmond City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Roanoke,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Roanoke,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Roanoke,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Roanoke,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Roanoke,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Roanoke,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Roanoke,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Roanoke,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Roanoke,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Roanoke,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Roanoke,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Roanoke,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Roanoke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Roanoke,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Roanoke,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Roanoke,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Roanoke,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Roanoke,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Roanoke City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Roanoke City,UnitedHealthcare,UHC Care Advantage VA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$41.30 ,$0.00 ,No,H0710,059,0,5.0,,,,,,,,,,,,
Virginia,Roanoke City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Roanoke City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Roanoke City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Roanoke City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Roanoke City,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Roanoke City,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Roanoke City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Roanoke City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Roanoke City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Roanoke City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Roanoke City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Roanoke City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Roanoke City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Roanoke City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Roanoke City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Roanoke City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Roanoke City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Rockbridge,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Rockbridge,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Rockbridge,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Rockbridge,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Rockbridge,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Rockbridge,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Rockbridge,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Rockbridge,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Rockbridge,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Rockbridge,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Rockbridge,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Rockbridge,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Rockbridge,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Rockbridge,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Rockbridge,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Rockingham,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Rockingham,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Rockingham,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Rockingham,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Rockingham,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Rockingham,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Rockingham,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Rockingham,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Rockingham,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Rockingham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Rockingham,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Rockingham,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Rockingham,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Rockingham,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Rockingham,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Russell,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Russell,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Russell,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Russell,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Russell,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Russell,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Russell,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Russell,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Russell,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Russell,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Russell,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Russell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Russell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Russell,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Russell,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Russell,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Russell,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Russell,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Russell,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Russell,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Salem City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Salem City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Salem City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Salem City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Salem City,Align Senior Care,Senior Care (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$38.50 ,$545.00 ,No,H2185,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Salem City,Align Senior Care,LifeWorks Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H2185,003,0,Not enough data available,,,,,,,,,,,,
Virginia,Salem City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Salem City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Salem City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Salem City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Salem City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Salem City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Salem City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Salem City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Salem City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Salem City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Salem City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Salem City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Salem City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Salem City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Salem City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Salem City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Salem City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Salem City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Salem City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Salem City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Scott,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Scott,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Scott,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Scott,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Scott,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Scott,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Scott,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Scott,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Scott,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Scott,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Scott,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Scott,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Scott,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Scott,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Scott,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Scott,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Scott,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Scott,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Scott,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Scott,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Scott,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Shenandoah,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Shenandoah,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Shenandoah,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Shenandoah,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Shenandoah,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Shenandoah,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Shenandoah,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Shenandoah,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Shenandoah,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Shenandoah,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Shenandoah,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Shenandoah,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Shenandoah,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Shenandoah,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Smyth,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Smyth,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Smyth,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Smyth,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Smyth,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Smyth,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Smyth,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Smyth,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Smyth,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Smyth,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Smyth,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Smyth,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Smyth,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Smyth,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Smyth,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Smyth,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Smyth,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Smyth,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Smyth,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Smyth,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Southampton,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Southampton,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Southampton,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Southampton,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Southampton,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Southampton,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Southampton,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Southampton,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Southampton,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Southampton,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Southampton,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Southampton,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Southampton,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Southampton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Southampton,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Southampton,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Southampton,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Southampton,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Southampton,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Southampton,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Southampton,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Southampton,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Southampton,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Spotsylvania,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Spotsylvania,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Spotsylvania,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Spotsylvania,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Spotsylvania,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Spotsylvania,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Spotsylvania,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Spotsylvania,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Spotsylvania,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Spotsylvania,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Spotsylvania,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Spotsylvania,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Spotsylvania,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Spotsylvania,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Spotsylvania,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Stafford,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Stafford,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Stafford,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Stafford,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Stafford,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Stafford,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Stafford,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Stafford,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Stafford,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Stafford,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Stafford,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Stafford,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Stafford,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Stafford,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Stafford,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Stafford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Stafford,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Stafford,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Stafford,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Stafford,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Stafford,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Stafford,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Stafford,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Stafford,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Staunton City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Staunton City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Staunton City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Staunton City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Staunton City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Staunton City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Staunton City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Staunton City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Staunton City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Staunton City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Staunton City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Staunton City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Staunton City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Staunton City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Staunton City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Suffolk City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Suffolk City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Suffolk City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Suffolk City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Suffolk City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Suffolk City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Suffolk City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Suffolk City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Suffolk City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Suffolk City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Suffolk City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Suffolk City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Suffolk City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Suffolk City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Suffolk City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Suffolk City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Suffolk City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Suffolk City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Suffolk City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Suffolk City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Surry,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Surry,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Surry,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Surry,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Surry,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Surry,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Surry,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Surry,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Surry,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Surry,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Surry,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Surry,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Surry,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Surry,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Surry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Surry,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Surry,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Surry,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Surry,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Surry,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Surry,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Surry,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Surry,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Surry,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Sussex,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Sussex,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Sussex,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Sussex,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Sussex,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Sussex,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Sussex,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Sussex,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Sussex,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Sussex,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Sussex,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Sussex,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Sussex,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Sussex,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Sussex,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Sussex,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Sussex,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Sussex,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Sussex,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Sussex,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Sussex,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Sussex,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Sussex,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Sussex,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Tazewell,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Tazewell,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Tazewell,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Tazewell,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Tazewell,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Tazewell,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Tazewell,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Tazewell,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Tazewell,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Tazewell,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Tazewell,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Tazewell,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Virginia Beach City,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,Virginia Beach City,Align Senior Care,Premier Care (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,001,0,Not enough data available,,,,,,,,,,,,
Virginia,Virginia Beach City,Align Senior Care,Memory Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,No,H1277,002,0,Not enough data available,,,*,,,,,,,,,
Virginia,Virginia Beach City,Align Senior Care,Align Kidney Care (HMO-POS C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$38.50 ,$545.00 ,No,H1277,004,0,Not enough data available,,,,,*,,,,,,,
Virginia,Virginia Beach City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Virginia Beach City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Virginia Beach City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Virginia Beach City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Virginia Beach City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Virginia Beach City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Virginia Beach City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Virginia Beach City,Anthem HealthKeepers,Anthem Chronic Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H3447,037,0,3.5,,,,,,,,,,,,*
Virginia,Virginia Beach City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Virginia Beach City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H5619,046,0,4.0,,,,,,,,,,,,*
Virginia,Virginia Beach City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Virginia Beach City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Virginia Beach City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Virginia Beach City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Virginia Beach City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Warren,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Warren,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Warren,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Warren,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Warren,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Warren,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Warren,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Warren,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Warren,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Warren,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Warren,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Warren,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Warren,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Warren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Warren,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Warren,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Warren,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Warren,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Warren,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Warren,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Warren,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Warren,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Warren,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Washington,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Washington,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Washington,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Washington,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Washington,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Washington,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Washington,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Washington,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Washington,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Washington,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Washington,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Washington,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Washington,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Washington,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Washington,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Washington,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Washington,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Washington,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Washington,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Washington,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Waynesboro City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Waynesboro City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Waynesboro City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Waynesboro City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Waynesboro City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Waynesboro City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Waynesboro City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,Anthem HealthKeepers,Anthem Home Care (HMO I-SNP),Local HMO,Institutional,,,Enhanced,EA,$26.70 ,$0.00 ,Yes,H3447,026,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Waynesboro City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Waynesboro City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Waynesboro City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Waynesboro City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Waynesboro City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Waynesboro City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Waynesboro City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Waynesboro City,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,Westmoreland,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Westmoreland,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Westmoreland,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Westmoreland,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Westmoreland,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Westmoreland,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Westmoreland,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Westmoreland,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Westmoreland,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Westmoreland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Westmoreland,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Westmoreland,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Westmoreland,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Westmoreland,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Williamsburg City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Williamsburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Williamsburg City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Williamsburg City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Williamsburg City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Williamsburg City,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,Williamsburg City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Williamsburg City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Williamsburg City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Williamsburg City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Williamsburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,Williamsburg City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Williamsburg City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Williamsburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Williamsburg City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Winchester City,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Winchester City,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Winchester City,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Winchester City,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Winchester City,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Winchester City,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Winchester City,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Winchester City,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Winchester City,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Winchester City,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,Winchester City,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Winchester City,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Winchester City,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Wise,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Wise,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Wise,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Wise,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Wise,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Wise,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Wise,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Wise,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Wise,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Wise,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Wise,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Wise,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Wise,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Wise,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Wise,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Wise,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Wise,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Wise,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Wise,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Wise,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Wythe,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,Wythe,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,Wythe,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,Wythe,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,Wythe,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,Wythe,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,Wythe,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,Wythe,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,Wythe,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,Wythe,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,Wythe,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,Wythe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,Wythe,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,Wythe,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,Wythe,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,Wythe,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,Wythe,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,Wythe,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,Wythe,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,Wythe,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Virginia,Wythe,Clear Spring Health,Clear Spring Health Essential (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,No,H8293,002,0,Not enough data available,,,,,,,,,,,,*
Virginia,York,UnitedHealthcare,UHC Nursing Home Plan EX-F004 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$35.50 ,$545.00 ,No,H0710,032,0,5.0,,,,,,,,,,,,
Virginia,York,Aetna Better Health of Virginia,Aetna Better Health of Virginia (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.40 ,$545.00 ,No,H1610,001,0,4.0,,,,,,,,,,,,
Virginia,York,Aetna Better Health of Virginia,Aetna Medicare Assure Premier (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.40 ,$545.00 ,No,H1610,002,0,4.0,,,,,,,,,,,,
Virginia,York,Aetna Better Health of Virginia,Aetna Medicare Assure Value (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.60 ,$545.00 ,No,H1610,003,0,4.0,,,,,,,,,,,,
Virginia,York,UnitedHealthcare,UHC Dual Complete VA-S001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H1889,006,0,4.5,,,,,,,,,,,,
Virginia,York,Sentara Medicare,Sentara Community Complete (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$17.10 ,$545.00 ,No,H2563,004,0,3.0,,,,,,,,,,,,
Virginia,York,Sentara Medicare,Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$150.00 ,No,H2563,018,0,3.0,,,,,,,,,,,,*
Virginia,York,Sentara Medicare,Sentara Community Complete Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$14.90 ,$545.00 ,No,H2563,020,0,3.0,,,,,,,,,,,,
Virginia,York,Anthem HealthKeepers,Anthem Full Dual Advantage 2 (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,011,0,3.5,,,,,,,,,,,,
Virginia,York,Anthem HealthKeepers,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$29.70 ,$545.00 ,No,H3447,030,0,3.5,,,,,,,,,,,,
Virginia,York,Anthem HealthKeepers,Anthem Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$325.00 ,Yes,H3447,033,0,3.5,,,,,*,,,,,,,
Virginia,York,Anthem HealthKeepers,Anthem Full Dual Advantage Support (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,044,0,3.5,,,,,,,,,,,,
Virginia,York,Anthem HealthKeepers,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H3447,045,0,3.5,,,,,,,,,,,,
Virginia,York,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H4909,018,0,3.0,,,,,,,,,,,,
Virginia,York,Humana,Humana Together in Health (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$18.30 ,$545.00 ,No,H5216,362,0,4.5,,,,,,,,,,,,
Virginia,York,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$21.70 ,$545.00 ,No,H5619,145,0,4.0,,,,,,,,,,,,*
Virginia,York,Humana,Humana Gold Plus - Diabetes and Heart (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$145.00 ,Yes,H6622,084,0,4.0,,,,,,,,,,*,,
Virginia,York,UnitedHealthcare,UHC Dual Complete VA-S002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,001,0,3.5,,,,,,,,,,,,
Virginia,York,UnitedHealthcare,UHC Dual Complete VA-Y001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,005,0,3.5,,,,,,,,,,,,
Virginia,York,UnitedHealthcare,UHC Dual Complete VA-Q001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,006,0,3.5,,,,,,,,,,,,
Virginia,York,UnitedHealthcare,UHC Dual Complete VA-Y002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$38.50 ,$545.00 ,No,H7464,007,0,3.5,,,,,,,,,,,,
Virginia,York,UnitedHealthcare,UHC Dual Complete VA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$38.50 ,$545.00 ,No,H7464,013,0,3.5,,,,,,,,,,,,
Virginia,York,Molina Healthcare of Virginia,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H7559,001,0,3.0,,,,,,,,,,,,
Virginia,York,Molina Healthcare of Virginia,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$30.70 ,$545.00 ,No,H7559,002,0,3.0,,,,,,,,,,,,
Washington,Adams,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Adams,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Adams,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Adams,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Adams,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Adams,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Adams,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Asotin,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Asotin,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Asotin,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Asotin,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Asotin,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Benton,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Benton,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Benton,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Benton,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Benton,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Benton,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Benton,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Benton,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Benton,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Benton,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Benton,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Benton,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Benton,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Chelan,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Chelan,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Chelan,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Chelan,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Chelan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Clallam,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Clallam,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Clallam,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Clallam,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Clallam,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Clallam,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Clallam,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Clallam,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Clark,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Clark,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Clark,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Clark,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Clark,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Clark,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,1,4.0,,,,,,,,,,,,
Washington,Clark,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H5619,154,0,4.0,,,,*,,,,,,,,
Washington,Clark,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Clark,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Clark,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Clark,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Clark,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Columbia,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Columbia,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Columbia,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Columbia,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Columbia,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Columbia,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Columbia,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Columbia,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Cowlitz,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Cowlitz,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Cowlitz,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Cowlitz,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Cowlitz,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Cowlitz,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,1,4.0,,,,,,,,,,,,
Washington,Cowlitz,Humana,Humana Gold Plus - Diabetes (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$250.00 ,Yes,H5619,154,0,4.0,,,,*,,,,,,,,
Washington,Cowlitz,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Cowlitz,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Cowlitz,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Cowlitz,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Cowlitz,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Douglas,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Douglas,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Douglas,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Douglas,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Douglas,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Douglas,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Douglas,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Douglas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Ferry,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Ferry,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Ferry,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Ferry,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Ferry,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Franklin,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Franklin,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Franklin,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Franklin,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Franklin,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Franklin,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Franklin,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Franklin,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Franklin,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Franklin,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Franklin,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Franklin,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Franklin,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Garfield,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Garfield,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Garfield,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Garfield,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Garfield,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Garfield,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Garfield,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Grant,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Grant,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Grant,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Grant,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Grant,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Grant,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Grant,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Grays Harbor,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Grays Harbor,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Grays Harbor,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Grays Harbor,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Grays Harbor,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Island,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Island,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Island,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Island,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Island,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Island,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Jefferson,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Jefferson,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Jefferson,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Jefferson,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Jefferson,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Jefferson,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Jefferson,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Jefferson,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Jefferson,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,King,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,King,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,King,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,King,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,King,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,King,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,King,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1894,008,0,3.0,,,,,*,,,,,,,
Washington,King,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,King,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,King,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,King,Humana,Humana Gold Plus SNP-DE H5619-155 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H5619,155,0,4.0,,,,,,,,,,,,
Washington,King,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,King,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,King,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,King,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,King,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Kitsap,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Kitsap,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Kitsap,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Kitsap,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Kitsap,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Kitsap,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Kitsap,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1894,008,0,3.0,,,,,*,,,,,,,
Washington,Kitsap,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Kitsap,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Kitsap,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Kitsap,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Kitsap,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Kitsap,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Kitsap,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Kitsap,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Kittitas,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Kittitas,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Kittitas,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Kittitas,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Kittitas,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Kittitas,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Kittitas,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Kittitas,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Klickitat,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Klickitat,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Lewis,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Lewis,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Lewis,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Lewis,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Lewis,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Lewis,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Lewis,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Lewis,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Lewis,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Lewis,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Lewis,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Lewis,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Lewis,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Lewis,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Lincoln,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Lincoln,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Lincoln,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Lincoln,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Lincoln,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Lincoln,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Lincoln,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Lincoln,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Mason,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Mason,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Mason,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Mason,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Mason,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Mason,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Mason,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Mason,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Mason,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Mason,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Mason,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Mason,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Mason,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Mason,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Okanogan,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Okanogan,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Okanogan,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Okanogan,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Okanogan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Pacific,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Pacific,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Pacific,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Pacific,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Pacific,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Pacific,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Pacific,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Pacific,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Pend Oreille,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Pend Oreille,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Pend Oreille,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Pend Oreille,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Pend Oreille,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Pend Oreille,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Pend Oreille,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Pend Oreille,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Pend Oreille,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Pierce,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Pierce,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Pierce,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Pierce,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Pierce,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Pierce,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Pierce,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1894,008,0,3.0,,,,,*,,,,,,,
Washington,Pierce,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Pierce,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Pierce,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Pierce,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Pierce,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Pierce,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Pierce,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Pierce,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,San Juan,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,San Juan,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,San Juan,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,San Juan,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,San Juan,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,San Juan,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,San Juan,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Skagit,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Skagit,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Skagit,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Skagit,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Skagit,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Skagit,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,3,4.0,,,,,,,,,,,,
Washington,Skagit,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Skagit,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Skagit,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Skagit,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Skagit,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Skamania,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Skamania,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Skamania,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Skamania,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Skamania,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Skamania,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Skamania,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Snohomish,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Snohomish,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Snohomish,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Snohomish,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Snohomish,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Snohomish,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Snohomish,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1894,008,0,3.0,,,,,*,,,,,,,
Washington,Snohomish,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Snohomish,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Snohomish,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,2,4.0,,,,,,,,,,,,
Washington,Snohomish,Humana,Humana Gold Plus SNP-DE H5619-155 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.60 ,$545.00 ,No,H5619,155,0,4.0,,,,,,,,,,,,
Washington,Snohomish,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Snohomish,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Snohomish,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Snohomish,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Snohomish,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Spokane,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Spokane,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Spokane,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Spokane,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Spokane,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Spokane,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Spokane,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1894,008,0,3.0,,,,,*,,,,,,,
Washington,Spokane,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Spokane,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Spokane,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Spokane,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Spokane,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Spokane,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Spokane,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Spokane,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Stevens,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Stevens,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Stevens,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Stevens,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Stevens,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Stevens,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Stevens,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Thurston,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Thurston,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Thurston,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Thurston,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Thurston,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Thurston,Wellpoint,Wellpoint Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$29.20 ,$545.00 ,No,H1894,002,0,3.0,,,,,,,,,,,,
Washington,Thurston,Wellpoint,Wellpoint Kidney Care (HMO C-SNP),Local HMO,Chronic or Disabling Condition,,,Enhanced,EA,$0.00 ,$0.00 ,Yes,H1894,008,0,3.0,,,,,*,,,,,,,
Washington,Thurston,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Thurston,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Thurston,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Thurston,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Thurston,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Thurston,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Thurston,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Thurston,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Wahkiakum,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Wahkiakum,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Wahkiakum,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Wahkiakum,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Wahkiakum,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Wahkiakum,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Wahkiakum,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Wahkiakum,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Wahkiakum,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Walla Walla,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Walla Walla,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Walla Walla,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Walla Walla,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Walla Walla,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Walla Walla,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,4,4.0,,,,,,,,,,,,
Washington,Walla Walla,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Walla Walla,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Walla Walla,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Walla Walla,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Walla Walla,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
Washington,Whatcom,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Whatcom,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Whatcom,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Whatcom,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Whatcom,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Whatcom,Humana,Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$35.00 ,$545.00 ,No,H5619,136,3,4.0,,,,,,,,,,,,
Washington,Whatcom,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Whatcom,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Whatcom,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Whatcom,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Whitman,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Whitman,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Whitman,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Whitman,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Whitman,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Yakima,UnitedHealthcare,UHC Dual Complete WA-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H0271,044,0,4.0,,,,,,,,,,,,
Washington,Yakima,UnitedHealthcare,UHC Care Advantage WA-E001 (PPO I-SNP),Local PPO,Institutional,,,Enhanced,EA,$40.60 ,$0.00 ,No,H0710,030,0,5.0,,,,,,,,,,,,
Washington,Yakima,UnitedHealthcare,UHC Nursing Home Plan WA-F001 (PPO I-SNP),Local PPO,Institutional,,,Basic,DS,$29.90 ,$545.00 ,No,H0710,031,0,5.0,,,,,,,,,,,,
Washington,Yakima,Wellcare,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$20.70 ,$545.00 ,No,H1353,002,0,2.5,,,,,,,,,,,,
Washington,Yakima,Wellcare,Wellcare Dual Liberty (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$24.90 ,$545.00 ,No,H1353,004,0,2.5,,,,,,,,,,,,
Washington,Yakima,UnitedHealthcare,UHC Dual Complete WA-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,002,0,3.5,,,,,,,,,,,,
Washington,Yakima,UnitedHealthcare,UHC Dual Complete WA-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5008,015,0,3.5,,,,,,,,,,,,
Washington,Yakima,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.10 ,$545.00 ,No,H5823,006,0,3.0,,,,,,,,,,,,
Washington,Yakima,"Molina Healthcare of Washington, Inc.",Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$33.00 ,$545.00 ,No,H5823,010,0,3.0,,,,,,,,,,,,
Washington,Yakima,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Complete (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,014,0,3.5,,,,,,,,,,,,
Washington,Yakima,Community Health Plan of WA Medicare Advantage,Community Health Plan of WA Dual Select (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$40.60 ,$545.00 ,No,H5826,017,0,3.5,,,,,,,,,,,,
Washington,Yakima,Wellcare,Wellcare Dual Access Open (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$36.10 ,$545.00 ,No,H5965,004,0,Not enough data available,,,,,,,,,,,,
West Virginia,Barbour,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Barbour,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Barbour,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Barbour,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Barbour,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Barbour,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Barbour,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Barbour,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Berkeley,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Berkeley,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Berkeley,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Berkeley,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Berkeley,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Berkeley,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Berkeley,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Berkeley,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Boone,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Boone,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Boone,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Boone,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Boone,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Boone,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Boone,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Boone,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Braxton,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Braxton,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Braxton,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Braxton,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Braxton,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Braxton,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Braxton,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Braxton,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Brooke,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Brooke,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Brooke,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Brooke,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Brooke,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Brooke,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Cabell,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Cabell,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Cabell,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Cabell,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Cabell,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Cabell,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Cabell,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Cabell,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Calhoun,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Calhoun,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Calhoun,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Calhoun,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Calhoun,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Calhoun,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Calhoun,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Calhoun,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Clay,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Clay,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Clay,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Clay,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Clay,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Clay,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Clay,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Clay,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Doddridge,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Doddridge,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Doddridge,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Doddridge,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Doddridge,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Doddridge,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Doddridge,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Fayette,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Fayette,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Fayette,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Fayette,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Fayette,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Fayette,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Fayette,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Fayette,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Gilmer,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Gilmer,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Gilmer,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Gilmer,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Gilmer,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Gilmer,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Gilmer,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Grant,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Grant,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Grant,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Grant,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Grant,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Grant,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Grant,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Grant,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Greenbrier,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Greenbrier,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Greenbrier,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Greenbrier,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Greenbrier,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Greenbrier,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Greenbrier,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Greenbrier,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Hampshire,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Hampshire,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Hampshire,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Hampshire,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Hampshire,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Hancock,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Hancock,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Hancock,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Hancock,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Hancock,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Hancock,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Hardy,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Hardy,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Hardy,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Hardy,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Hardy,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Hardy,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Hardy,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Hardy,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Harrison,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Harrison,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Harrison,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Harrison,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Harrison,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Harrison,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Harrison,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Harrison,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Jackson,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Jackson,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Jackson,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Jackson,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Jackson,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Jackson,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Jackson,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Jackson,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Jefferson,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Jefferson,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Jefferson,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Jefferson,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Jefferson,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Jefferson,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Jefferson,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Kanawha,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Kanawha,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Kanawha,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Kanawha,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Kanawha,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Kanawha,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Kanawha,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Kanawha,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Lewis,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Lewis,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Lewis,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Lewis,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Lewis,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Lewis,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Lewis,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Lewis,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Lincoln,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Lincoln,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Lincoln,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Lincoln,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Lincoln,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Lincoln,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Lincoln,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Lincoln,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Logan,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Logan,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Logan,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Logan,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Logan,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Logan,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Logan,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Logan,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Marion,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Marion,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Marion,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Marion,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Marion,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Marion,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Marion,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Marion,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Marshall,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Marshall,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Marshall,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Marshall,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Marshall,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Marshall,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Mason,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Mason,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Mason,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Mason,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Mason,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Mason,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Mason,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Mason,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,McDowell,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,McDowell,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,McDowell,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,McDowell,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,McDowell,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,McDowell,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Mercer,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Mercer,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Mercer,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Mercer,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Mercer,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Mercer,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Mineral,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Mineral,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Mineral,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Mineral,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Mineral,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Mineral,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Mingo,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Mingo,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Mingo,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Mingo,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Mingo,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Mingo,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Mingo,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Mingo,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Monongalia,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Monongalia,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Monongalia,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Monongalia,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Monongalia,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Monongalia,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Monongalia,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Monongalia,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Monroe,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Monroe,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Monroe,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Monroe,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Monroe,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Monroe,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Morgan,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Morgan,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Morgan,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Morgan,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Morgan,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Morgan,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Nicholas,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Nicholas,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Nicholas,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Nicholas,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Nicholas,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Nicholas,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Nicholas,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Nicholas,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Ohio,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Ohio,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Ohio,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Ohio,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Ohio,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Ohio,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Pendleton,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Pendleton,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Pendleton,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Pendleton,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Pendleton,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Pendleton,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Pendleton,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Pendleton,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Pleasants,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Pleasants,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Pleasants,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Pleasants,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Pleasants,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Pleasants,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Pleasants,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Pleasants,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Pocahontas,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Pocahontas,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Pocahontas,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Pocahontas,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Pocahontas,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Pocahontas,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Pocahontas,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Preston,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Preston,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Preston,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Preston,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Preston,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Preston,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Preston,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Preston,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Putnam,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Putnam,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Putnam,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Putnam,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Putnam,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Putnam,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Putnam,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Raleigh,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Raleigh,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Raleigh,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Raleigh,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Raleigh,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Raleigh,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Randolph,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Randolph,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Randolph,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Randolph,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Randolph,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Randolph,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Randolph,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Randolph,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Ritchie,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Ritchie,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Ritchie,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Ritchie,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Ritchie,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Ritchie,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Ritchie,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Ritchie,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Roane,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Roane,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Roane,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Roane,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Roane,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Roane,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Roane,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Summers,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Summers,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Summers,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Summers,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Summers,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Summers,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Taylor,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Taylor,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Taylor,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Taylor,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Taylor,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Taylor,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Taylor,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Taylor,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Tucker,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Tucker,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Tucker,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Tucker,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Tucker,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Tucker,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Tucker,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Tucker,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Tyler,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Tyler,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Tyler,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Tyler,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Tyler,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Tyler,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Tyler,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Upshur,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Upshur,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Upshur,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Upshur,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Upshur,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Upshur,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Upshur,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Upshur,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Wayne,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Wayne,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Wayne,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Wayne,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Wayne,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Wayne,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Wayne,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Wayne,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Webster,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Webster,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Webster,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Webster,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Webster,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Webster,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Webster,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Webster,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Wetzel,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Wetzel,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Wetzel,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Wetzel,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Wetzel,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Wetzel,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Wetzel,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Wirt,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Wirt,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Wirt,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Wirt,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Wirt,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Wirt,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Wirt,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Wirt,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Wood,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Wood,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Wood,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Wood,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Wood,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Wood,Humana,Humana Gold Plus SNP-DE H5619-126 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,126,0,4.0,,,,,,,,,,,,
West Virginia,Wood,Humana,Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5619,162,0,4.0,,,,,,,,,,,,
West Virginia,Wood,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
West Virginia,Wyoming,UnitedHealthcare,UHC Dual Complete WV-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,013,0,4.0,,,,,,,,,,,,
West Virginia,Wyoming,UnitedHealthcare,UHC Dual Complete WV-V001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$35.60 ,$545.00 ,No,H0271,058,0,4.0,,,,,,,,,,,,
West Virginia,Wyoming,Aetna Medicare,Aetna Medicare Advantra Cares (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$25.10 ,$545.00 ,No,H1692,005,0,4.0,,,,,,,,,,,,
West Virginia,Wyoming,The Health Plan,The Health Plan SecureCare SNP (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H3672,019,0,4.0,,,,,,,,,,,,
West Virginia,Wyoming,Humana,HumanaChoice SNP-DE H5216-220 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$40.20 ,$545.00 ,No,H5216,220,0,4.5,,,,,,,,,,,,
West Virginia,Wyoming,West Virginia Senior Advantage,WV Senior Advantage (HMO I-SNP),Local HMO,Institutional,,,Basic,DS,$40.20 ,$545.00 ,No,H9153,001,0,5.0,,,,,,,,,,,,
Wisconsin,Adams,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Adams,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Adams,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Adams,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Adams,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Adams,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Adams,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Adams,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Adams,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Adams,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Adams,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Adams,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Adams,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Ashland,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Ashland,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Ashland,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Ashland,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Ashland,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Ashland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Ashland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Barron,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Barron,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Barron,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Barron,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Barron,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Barron,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Barron,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Barron,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Bayfield,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Bayfield,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Bayfield,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Bayfield,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Bayfield,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Bayfield,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Bayfield,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Bayfield,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Brown,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Brown,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Brown,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Brown,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Brown,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Brown,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Brown,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Brown,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Brown,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Brown,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Brown,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Brown,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Brown,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Brown,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Brown,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Brown,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Brown,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Buffalo,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Buffalo,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Buffalo,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Buffalo,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Buffalo,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Buffalo,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Buffalo,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Buffalo,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Burnett,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Burnett,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Burnett,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Burnett,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Burnett,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Burnett,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Burnett,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Burnett,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Calumet,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Calumet,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Calumet,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Calumet,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Calumet,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Calumet,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Calumet,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Calumet,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Calumet,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Calumet,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Calumet,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Calumet,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Calumet,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Calumet,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Calumet,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Chippewa,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Chippewa,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Chippewa,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Chippewa,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Chippewa,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Chippewa,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Chippewa,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Chippewa,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Clark,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Clark,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Clark,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Clark,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Clark,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Clark,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Clark,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Clark,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Clark,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Clark,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Clark,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Columbia,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Columbia,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Columbia,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Columbia,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Columbia,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Columbia,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Columbia,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Columbia,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Columbia,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Columbia,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Columbia,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Columbia,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Columbia,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Columbia,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Crawford,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Crawford,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Crawford,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Crawford,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Crawford,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Crawford,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Crawford,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Crawford,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Dane,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Dane,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Dane,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Dane,iCare,iCare Family Care Partnership (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2237,007,0,3.5,,,,,,,,,,,,
Wisconsin,Dane,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Dane,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Dane,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Dane,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Dane,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Dane,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Dane,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Dane,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Dane,Quartz Medicare Advantage,UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,AE,$48.10 ,$545.00 ,No,H5262,030,0,4.5,,,,,,,,,,,,
Wisconsin,Dane,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Dane,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Dane,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Dane,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Dane,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Dodge,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Dodge,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Dodge,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Dodge,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Dodge,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Dodge,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Dodge,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Dodge,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Dodge,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Dodge,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Dodge,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Dodge,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Dodge,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Dodge,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Dodge,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Dodge,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Dodge,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Door,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Door,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Door,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Door,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Door,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Door,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Door,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Door,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Door,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Door,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Douglas,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Douglas,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Douglas,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Douglas,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Douglas,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Douglas,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Douglas,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Douglas,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Douglas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Douglas,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Dunn,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Dunn,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Dunn,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Dunn,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Dunn,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Dunn,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Dunn,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Dunn,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Eau Claire,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Eau Claire,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Eau Claire,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Eau Claire,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Eau Claire,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Eau Claire,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Eau Claire,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Eau Claire,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Florence,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Florence,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Florence,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Florence,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Florence,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Florence,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Florence,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Florence,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Florence,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Florence,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Fond du Lac,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Fond du Lac,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Fond du Lac,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Fond du Lac,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Fond du Lac,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Fond du Lac,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Fond du Lac,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Fond du Lac,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Forest,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Forest,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Forest,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Forest,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Forest,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Forest,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Forest,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Forest,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Forest,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Forest,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Grant,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Grant,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Grant,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Grant,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Grant,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Grant,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Grant,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Grant,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Green,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Green,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Green,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Green,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Green,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Green,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Green,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Green,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Green,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Green,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Green,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Green,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Green Lake,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Green Lake,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Green Lake,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Green Lake,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Green Lake,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Green Lake,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Green Lake,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Green Lake,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Green Lake,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Green Lake,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Green Lake,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Green Lake,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Green Lake,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Green Lake,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Iowa,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Iowa,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Iowa,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Iowa,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Iowa,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Iowa,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Iowa,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Iowa,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Iowa,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Iowa,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Iowa,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Iron,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Iron,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Iron,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Iron,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Iron,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Iron,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Iron,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Iron,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Jackson,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Jackson,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Jackson,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Jackson,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Jackson,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Jackson,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Jackson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Jackson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Jefferson,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Jefferson,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Jefferson,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Jefferson,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Jefferson,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Jefferson,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Jefferson,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Jefferson,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Jefferson,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Jefferson,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Jefferson,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Jefferson,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Jefferson,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Jefferson,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Juneau,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Juneau,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Juneau,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Juneau,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Juneau,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Juneau,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Juneau,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Juneau,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Kenosha,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Kenosha,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Kenosha,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Kenosha,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Kenosha,iCare,iCare Family Care Partnership (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2237,007,0,3.5,,,,,,,,,,,,
Wisconsin,Kenosha,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Kenosha,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Kenosha,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Kenosha,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Kenosha,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Kenosha,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Kenosha,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Kenosha,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Kenosha,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Kenosha,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Kewaunee,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Kewaunee,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Kewaunee,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Kewaunee,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Kewaunee,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Kewaunee,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Kewaunee,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Kewaunee,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Kewaunee,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Kewaunee,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Kewaunee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Kewaunee,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Kewaunee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Kewaunee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,La Crosse,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,La Crosse,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,La Crosse,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,La Crosse,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,La Crosse,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,La Crosse,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,La Crosse,Quartz Medicare Advantage,Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,AE,$48.10 ,$545.00 ,No,H5262,029,0,4.5,,,,,,,,,,,,
Wisconsin,La Crosse,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,La Crosse,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,La Crosse,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Lafayette,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Lafayette,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Lafayette,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Lafayette,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Lafayette,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Lafayette,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Lafayette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Lafayette,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Langlade,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Langlade,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Langlade,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Langlade,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Langlade,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Langlade,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Langlade,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Langlade,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Langlade,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Langlade,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Langlade,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Lincoln,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Lincoln,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Lincoln,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Lincoln,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Lincoln,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Lincoln,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Lincoln,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Lincoln,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Lincoln,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Manitowoc,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Manitowoc,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Manitowoc,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Manitowoc,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Manitowoc,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Manitowoc,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Manitowoc,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Manitowoc,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Manitowoc,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Manitowoc,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Manitowoc,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Manitowoc,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Manitowoc,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Manitowoc,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Manitowoc,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Manitowoc,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Marathon,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Marathon,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Marathon,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Marathon,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Marathon,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Marathon,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Marathon,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Marathon,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Marathon,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Marathon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Marathon,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Marinette,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Marinette,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Marinette,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Marinette,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Marinette,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Marinette,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Marinette,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Marinette,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Marinette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Marinette,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Marinette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Marinette,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Marquette,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Marquette,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Marquette,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Marquette,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Marquette,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Marquette,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Marquette,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Marquette,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Marquette,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Marquette,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Marquette,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Marquette,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Marquette,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Menominee,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Menominee,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Menominee,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Menominee,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Menominee,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Menominee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Menominee,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Menominee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Menominee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Milwaukee,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Milwaukee,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Milwaukee,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Milwaukee,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Milwaukee,iCare,iCare Family Care Partnership (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2237,007,0,3.5,,,,,,,,,,,,
Wisconsin,Milwaukee,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Milwaukee,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Milwaukee,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Milwaukee,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Milwaukee,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Milwaukee,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Milwaukee,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Milwaukee,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Milwaukee,Quartz Medicare Advantage,Aurora Health Quartz Med Advantage Dual Eligible (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,AE,$48.10 ,$545.00 ,No,H5262,031,0,4.5,,,,,,,,,,,,
Wisconsin,Milwaukee,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Milwaukee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Milwaukee,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Milwaukee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Milwaukee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Monroe,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Monroe,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Monroe,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Monroe,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Monroe,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Monroe,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Monroe,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Monroe,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Monroe,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Oconto,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Oconto,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Oconto,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Oconto,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Oconto,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Oconto,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Oconto,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Oconto,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Oconto,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Oconto,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Oconto,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Oconto,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Oconto,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Oconto,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Oneida,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Oneida,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Oneida,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Oneida,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Oneida,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Oneida,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Oneida,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Oneida,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Outagamie,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Outagamie,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Outagamie,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Outagamie,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Outagamie,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Outagamie,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Outagamie,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Outagamie,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Outagamie,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Outagamie,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Outagamie,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Outagamie,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Outagamie,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Outagamie,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Outagamie,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Outagamie,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Outagamie,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Outagamie,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Ozaukee,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Ozaukee,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Ozaukee,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Ozaukee,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Ozaukee,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Ozaukee,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Ozaukee,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Ozaukee,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Ozaukee,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Ozaukee,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Ozaukee,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Ozaukee,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Ozaukee,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Ozaukee,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Ozaukee,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Ozaukee,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Ozaukee,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Pepin,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Pepin,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Pepin,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Pepin,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Pepin,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Pepin,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Pepin,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Pepin,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Pierce,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Pierce,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Pierce,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Pierce,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Pierce,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Pierce,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Pierce,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Pierce,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Polk,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Polk,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Polk,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Polk,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Polk,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Polk,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Polk,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Polk,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Polk,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Portage,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Portage,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Portage,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Portage,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Portage,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Portage,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Portage,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Portage,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Portage,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Portage,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Portage,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Portage,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Portage,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Price,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Price,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Price,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Price,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Price,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Price,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Price,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Price,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Racine,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Racine,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Racine,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Racine,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Racine,iCare,iCare Family Care Partnership (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2237,007,0,3.5,,,,,,,,,,,,
Wisconsin,Racine,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Racine,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Racine,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Racine,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Racine,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Racine,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Racine,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Racine,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Racine,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Racine,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Racine,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Racine,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Richland,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Richland,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Richland,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Richland,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Richland,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Richland,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Richland,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Richland,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Rock,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Rock,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Rock,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Rock,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Rock,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Rock,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Rock,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Rock,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Rock,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Rock,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Rock,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Rock,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Rock,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Rusk,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Rusk,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Rusk,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Rusk,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Rusk,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Rusk,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Rusk,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Rusk,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Sauk,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Sauk,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Sauk,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Sauk,iCare,iCare Family Care Partnership (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2237,007,0,3.5,,,,,,,,,,,,
Wisconsin,Sauk,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Sauk,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Sauk,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Sauk,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Sauk,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Sauk,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Sauk,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Sauk,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Sauk,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Sawyer,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Sawyer,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Sawyer,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Sawyer,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Sawyer,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Sawyer,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Sawyer,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Sawyer,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Shawano,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Shawano,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Shawano,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Shawano,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Shawano,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Shawano,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Shawano,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Shawano,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Shawano,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Shawano,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Shawano,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Shawano,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Shawano,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Shawano,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Shawano,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Shawano,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Sheboygan,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Sheboygan,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Sheboygan,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Sheboygan,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Sheboygan,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Sheboygan,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Sheboygan,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Sheboygan,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Sheboygan,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Sheboygan,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Sheboygan,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Sheboygan,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Sheboygan,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Sheboygan,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Sheboygan,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Sheboygan,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Sheboygan,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,St. Croix,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,St. Croix,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,St. Croix,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,St. Croix,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,St. Croix,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,St. Croix,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Taylor,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Taylor,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Taylor,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Taylor,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Taylor,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Taylor,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Taylor,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Taylor,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Taylor,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Taylor,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Trempealeau,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Trempealeau,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Trempealeau,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Trempealeau,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Trempealeau,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Trempealeau,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Trempealeau,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Trempealeau,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Trempealeau,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Vernon,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Vernon,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Vernon,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Vernon,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Vernon,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Vernon,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Vernon,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Vernon,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Vernon,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Vilas,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Vilas,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Vilas,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Vilas,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Vilas,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Vilas,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Vilas,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Vilas,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Walworth,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Walworth,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Walworth,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Walworth,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Walworth,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Walworth,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Walworth,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Walworth,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Walworth,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Walworth,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Walworth,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Walworth,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Walworth,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Walworth,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Walworth,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Washburn,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Washburn,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Washburn,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Washburn,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Washburn,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Washburn,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Washburn,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Washburn,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Washington,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Washington,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Washington,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Washington,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Washington,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Washington,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Washington,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Washington,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Washington,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Washington,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Washington,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Washington,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Washington,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Washington,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Washington,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Washington,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Washington,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Washington,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Waukesha,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Waukesha,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Waukesha,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Waukesha,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Waukesha,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Waukesha,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Waukesha,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Waukesha,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Waukesha,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Waukesha,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Waukesha,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Waukesha,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Waukesha,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Waukesha,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Waukesha,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Waukesha,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Waukesha,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Waukesha,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Waupaca,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Waupaca,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Waupaca,Community Care,Community Care's Partnership Program (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$48.10 ,$545.00 ,No,H2034,001,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Waupaca,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Waupaca,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Waupaca,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Waupaca,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Waupaca,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Waupaca,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Waupaca,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Waupaca,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Waupaca,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Waupaca,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Waupaca,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Waupaca,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Waupaca,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Waupaca,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Waushara,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Waushara,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Waushara,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Waushara,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Waushara,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Waushara,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Waushara,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Waushara,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Waushara,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Waushara,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Waushara,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Waushara,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Waushara,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Waushara,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Winnebago,UnitedHealthcare,UHC Complete Care WI-0001 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$12.00 ,$0.00 ,Yes,H0294,002,0,3.5,,,,,,,,,,,,*
Wisconsin,Winnebago,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Winnebago,iCare,iCare Medicare Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H2237,001,0,3.5,,,,,,,,,,,,
Wisconsin,Winnebago,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$33.20 ,$545.00 ,No,H2879,001,0,3.0,,,,,,,,,,,,
Wisconsin,Winnebago,Molina Healthcare of Wisconsin and Massachusetts,Molina Medicare Complete Care Select (HMO D-SNP),Local HMO,Dual-Eligible,CO,No,Basic,DS,$31.00 ,$545.00 ,No,H2879,005,0,3.0,,,,,,,,,,,,
Wisconsin,Winnebago,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Winnebago,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Winnebago,My Choice Wisconsin Health Plan,My Choice Wisconsin Partnership Plan (HMO D-SNP),Local HMO,Dual-Eligible,FIDE,Yes,Basic,DS,$23.40 ,$545.00 ,No,H5209,002,0,4.0,,,,,,,,,,,,
Wisconsin,Winnebago,My Choice Wisconsin Health Plan,My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.00 ,$545.00 ,No,H5209,004,0,4.0,,,,,,,,,,,,
Wisconsin,Winnebago,Network Health Medicare Advantage Plans,Network Health Cares (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,BA,$48.10 ,$545.00 ,No,H5215,007,0,5.0,,,,,,,,,,,,
Wisconsin,Winnebago,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Winnebago,UnitedHealthcare,UHC Dual Complete WI-D003 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$43.10 ,$545.00 ,No,H5253,024,0,4.5,,,,,,,,,,,,
Wisconsin,Winnebago,UnitedHealthcare,UHC Care Advantage WI-E001 (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$48.10 ,$0.00 ,No,H5253,064,0,4.5,,,,,,,,,,,,
Wisconsin,Winnebago,Humana,Humana Together in Health (HMO-POS I-SNP),Local HMO,Institutional,,,Enhanced,EA,$22.10 ,$250.00 ,No,H6622,088,0,4.0,,,,,,,,,,,,
Wisconsin,Winnebago,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Winnebago,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Winnebago,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Winnebago,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wisconsin,Wood,UnitedHealthcare,UHC Complete Care WI-0003 (PPO C-SNP),Local PPO,Chronic or Disabling Condition,,,Enhanced,EA,$18.00 ,$0.00 ,Yes,H0294,010,0,3.5,,,,,,,,,,,,*
Wisconsin,Wood,UnitedHealthcare,UHC Dual Complete WI-D001 (PPO D-SNP),Local PPO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H0294,027,0,3.5,,,,,,,,,,,,
Wisconsin,Wood,UnitedHealthcare,UHC Dual Complete WI-D002 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,002,0,5.0,,,,,,,,,,,,
Wisconsin,Wood,UnitedHealthcare,UHC Dual Complete WI-V001 (HMO-POS D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H3794,004,0,5.0,,,,,,,,,,,,
Wisconsin,Wood,"Security Health Plan of Wisconsin, Inc.",Ally Rx (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H5211,010,0,4.0,,,,,,,,,,,,
Wisconsin,Wood,UnitedHealthcare,UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP),Local HMO,Institutional,,,Basic,DS,$34.00 ,$545.00 ,No,H5253,007,0,4.5,,,,,,,,,,,,
Wisconsin,Wood,Group Health Cooperative of Eau Claire,Cooperative Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$48.10 ,$545.00 ,No,H7598,003,0,Not enough data available,,,,,,,,,,,,
Wisconsin,Wood,Wellcare by Allwell,Wellcare Dual Access (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$37.70 ,$545.00 ,No,H8189,001,0,3.5,,,,,,,,,,,,
Wisconsin,Wood,Wellcare by Allwell,Wellcare All Dual Assure (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$16.40 ,$545.00 ,No,H8189,007,0,3.5,,,,,,,,,,,,
Wisconsin,Wood,Anthem Blue Cross and Blue Shield,Anthem Full Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$39.60 ,$545.00 ,No,H9525,003,0,4.0,,,,,,,,,,,,
Wisconsin,Wood,Anthem Blue Cross and Blue Shield,Anthem Dual Advantage (HMO D-SNP),Local HMO,Dual-Eligible,HIDE,No,Basic,DS,$15.10 ,$545.00 ,No,H9525,012,0,4.0,,,,,,,,,,,,
Wyoming,Albany,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Albany,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Big Horn,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Campbell,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Carbon,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Converse,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Crook,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Crook,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Fremont,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Goshen,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Goshen,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Hot Springs,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Johnson,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Laramie,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Laramie,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Lincoln,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Lincoln,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Natrona,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Niobrara,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Park,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Park,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Platte,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Sheridan,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Sublette,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Sweetwater,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Teton,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Teton,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Uinta,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Uinta,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,
Wyoming,Washakie,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Weston,UnitedHealthcare,UHC Dual Complete WY-S001 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H0271,042,0,4.0,,,,,,,,,,,,
Wyoming,Weston,Humana,HumanaChoice SNP-DE H5525-053 (PPO D-SNP),Local PPO,Dual-Eligible,CO,No,Basic,DS,$42.20 ,$545.00 ,No,H5525,053,0,4.0,,,,,,,,,,,,