H3664-802-000HMOPOS
PrimeTime Health Plan
PrimeTime Health Plan Employer Group HMO MA-Only (HMO-POS) · National Service Area
Employer/retiree group
H3664-802-000 — PrimeTime Health Plan Employer Group HMO MA-Only (HMO-POS) — National Service Area → H3664-803-000HMOPOS
PrimeTime Health Plan
PrimeTime Health Plan Employer Group - Non CY (HMO-POS) · National Service Area
Employer/retiree group
H3664-803-000 — PrimeTime Health Plan Employer Group - Non CY (HMO-POS) — National Service Area → H3664-805-000HMOPOS
PrimeTime Health Plan
Part B Only MA-PD (HMO-POS) · Part B Only MA-PD National Service Area
Employer/retiree group
H3664-805-000 — Part B Only MA-PD (HMO-POS) — Part B Only MA-PD National Service Area → H3664-806-000HMOPOS
PrimeTime Health Plan
Part B Only MA (HMO-POS) · Part B Only MA National Service Area
Employer/retiree group
H3664-806-000 — Part B Only MA (HMO-POS) — Part B Only MA National Service Area → H3664-807-000HMOPOS
PrimeTime Health Plan
PrimeTime Health Plan Employer Group HMO - CY (HMO-POS) · National Service Area
Employer/retiree group
H3664-807-000 — PrimeTime Health Plan Employer Group HMO - CY (HMO-POS) — National Service Area → H3672-805-000HMO
The Health Plan
The Health Plan SecureCare - Employer (HMO) · East Ohio and West Virginia, National
Employer/retiree group
H3672-805-000 — The Health Plan SecureCare - Employer (HMO) — East Ohio and West Virginia, National → H3748-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Washington
Employer/retiree group
H3748-801-000 — Aetna Medicare Plan (HMO) — Washington → H3817-801-000Local PPO
Regence BlueCross BlueShield of Oregon
Regence MedAdvantage (PPO) · Nationwide except territories
Employer/retiree group
H3817-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories → H3817-802-000Local PPO
Regence BlueCross BlueShield of Oregon
Regence MedAdvantage + Rx (PPO) · Nationwide except territories
Employer/retiree group
H3817-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories → H3832-801-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage EGWP with Drug CY (PPO) · National
Employer/retiree group
H3832-801-000 — HMSA Akamai Advantage EGWP with Drug CY (PPO) — National → H3832-802-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage EGWP with Drug NCY (PPO) · National
Employer/retiree group
H3832-802-000 — HMSA Akamai Advantage EGWP with Drug NCY (PPO) — National → H3832-805-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage EGWP CY (PPO) · National
Employer/retiree group
H3832-805-000 — HMSA Akamai Advantage EGWP CY (PPO) — National → H3832-807-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage Union Group Plan MAPD (PPO) · National
Employer/retiree group
H3832-807-000 — HMSA Akamai Advantage Union Group Plan MAPD (PPO) — National → H3907-801-000HMO
UPMC for Life
UPMC Employer Group (HMO) · Western Pennsylvania
Employer/retiree group
H3907-801-000 — UPMC Employer Group (HMO) — Western Pennsylvania → H3907-802-000HMO
UPMC for Life
UPMC Employer Group Rx (HMO) · Western Pennsylvania
Employer/retiree group
H3907-802-000 — UPMC Employer Group Rx (HMO) — Western Pennsylvania → H3907-803-000HMO
UPMC for Life
UPMC Employer Group Rx (HMO) · Western Pennsylvania
Employer/retiree group
H3907-803-000 — UPMC Employer Group Rx (HMO) — Western Pennsylvania → H3907-804-000HMO
UPMC for Life
UPMC PSHB Employer Group Rx (HMO) · Pennsylvania
Employer/retiree group
H3907-804-000 — UPMC PSHB Employer Group Rx (HMO) — Pennsylvania → H3909-801-000Local PPO
Independence Blue Cross
Personal Choice 65 Group Medical Only (PPO) · National
Employer/retiree group
H3909-801-000 — Personal Choice 65 Group Medical Only (PPO) — National → H3909-802-000Local PPO
Independence Blue Cross
Personal Choice 65 Group Rx (PPO) · National
Employer/retiree group
H3909-802-000 — Personal Choice 65 Group Rx (PPO) — National → H3909-803-000Local PPO
Independence Blue Cross
Personal Choice 65 Group RxG (PPO) · National
Employer/retiree group
H3909-803-000 — Personal Choice 65 Group RxG (PPO) — National → H3916-801-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MA PA CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-801-000 — Freedom Blue PPO MA PA CALENDAR (PPO) — Pennsylvania → H3916-802-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MAPD PA CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-802-000 — Freedom Blue PPO MAPD PA CALENDAR (PPO) — Pennsylvania → H3916-804-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MAPD PA Calendar Performance (PPO) · Pennsylvania
Employer/retiree group
H3916-804-000 — Freedom Blue PPO MAPD PA Calendar Performance (PPO) — Pennsylvania → H3916-805-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO MA PA Calendar (PPO) · Pennsylvania
Employer/retiree group
H3916-805-000 — Community Blue Medicare PPO MA PA Calendar (PPO) — Pennsylvania → H3916-806-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO PA MAPD Calendar (PPO) · Pennsylvania
Employer/retiree group
H3916-806-000 — Community Blue Medicare PPO PA MAPD Calendar (PPO) — Pennsylvania → H3916-807-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO MAPD Calendar Perform (PPO) · Pennsylvania
Employer/retiree group
H3916-807-000 — Community Blue Medicare PPO MAPD Calendar Perform (PPO) — Pennsylvania → H3916-808-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MAPD ASO CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-808-000 — Freedom Blue PPO MAPD ASO CALENDAR (PPO) — Pennsylvania → H3916-809-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO ASO CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-809-000 — Community Blue Medicare PPO ASO CALENDAR (PPO) — Pennsylvania → H3916-810-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare Plus PPO ASO CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-810-000 — Community Blue Medicare Plus PPO ASO CALENDAR (PPO) — Pennsylvania → H3923-801-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx (CY) (PPO) · National
Employer/retiree group
H3923-801-000 — Capital Blue Cross Group Rx (CY) (PPO) — National → H3923-802-000Local PPO
Capital Blue Cross
Capital Blue Cross Group No Rx (CY) (PPO) · National
Employer/retiree group
H3923-802-000 — Capital Blue Cross Group No Rx (CY) (PPO) — National → H3923-817-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Custom Rx (CY) (PPO) · National
Employer/retiree group
H3923-817-000 — Capital Blue Cross Group Custom Rx (CY) (PPO) — National → H3923-818-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx Complete (CY) (PPO) · National
Employer/retiree group
H3923-818-000 — Capital Blue Cross Group Rx Complete (CY) (PPO) — National → H3923-819-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx Standard (CY) (PPO) · National
Employer/retiree group
H3923-819-000 — Capital Blue Cross Group Rx Standard (CY) (PPO) — National → H3923-820-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx (FY) (PPO) · National
Employer/retiree group
H3923-820-000 — Capital Blue Cross Group Rx (FY) (PPO) — National → H3923-832-000Local PPO
Capital Blue Cross
Capital Blue Cross Group No Rx (FY) (PPO) · National
Employer/retiree group
H3923-832-000 — Capital Blue Cross Group No Rx (FY) (PPO) — National → H3928-801-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Louisiana
Employer/retiree group
H3928-801-000 — Aetna Medicare Plan w/Rx (HMO) — Louisiana → H3928-803-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Louisiana
Employer/retiree group
H3928-803-000 — Aetna Medicare Plan (HMO) — Louisiana → H3928-805-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Louisiana
Employer/retiree group
H3928-805-000 — Aetna Medicare Plan (HMO) — Louisiana → H3931-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Pennsylvania
Employer/retiree group
H3931-801-000 — Aetna Medicare Plan (HMO) — Pennsylvania → H3931-804-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Pennsylvania
Employer/retiree group
H3931-804-000 — Aetna Medicare Plan w/Rx (HMO) — Pennsylvania → H3931-808-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Pennsylvania
Employer/retiree group
H3931-808-000 — Aetna Medicare Plan (HMO) — Pennsylvania → H3959-804-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Pennsylvania
Employer/retiree group
H3959-804-000 — Aetna Medicare Plan w/Rx (HMO) — Pennsylvania → H3962-801-000HMO
Capital Blue Cross
Capital Blue Cross Group Rx (CY) (HMO) · National
Employer/retiree group
H3962-801-000 — Capital Blue Cross Group Rx (CY) (HMO) — National → H3962-802-000HMO
Capital Blue Cross
Capital Blue Cross Group No Rx (CY) (HMO) · National
Employer/retiree group
H3962-802-000 — Capital Blue Cross Group No Rx (CY) (HMO) — National → H3962-813-000HMO
Capital Blue Cross
Capital Blue Cross Group Custom Rx (CY) (HMO) · National
Employer/retiree group
H3962-813-000 — Capital Blue Cross Group Custom Rx (CY) (HMO) — National → H3962-817-000HMO
Capital Blue Cross
Capital Blue Cross Group Rx (FY) (HMO) · National
Employer/retiree group
H3962-817-000 — Capital Blue Cross Group Rx (FY) (HMO) — National → H3962-828-000HMO
Capital Blue Cross
Capital Blue Cross Group No Rx (FY) (HMO) · National
Employer/retiree group
H3962-828-000 — Capital Blue Cross Group No Rx (FY) (HMO) — National → H4005-801-000Local PPO
Triple-S Advantage
Óptimo (PPO) · Puerto Rico
Employer/retiree group
H4005-801-000 — Óptimo (PPO) — Puerto Rico → H4005-802-000Local PPO
Triple-S Advantage
Óptimo Plus A (PPO) · Puerto Rico
Employer/retiree group
H4005-802-000 — Óptimo Plus A (PPO) — Puerto Rico → H4005-804-000Local PPO
Triple-S Advantage
Óptimo Plus B (PPO) · Puerto Rico
Employer/retiree group
H4005-804-000 — Óptimo Plus B (PPO) — Puerto Rico → H4036-801-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-801-000 — Anthem Medicare Preferred (PPO) — National → H4036-802-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-802-000 — Anthem Medicare Preferred (PPO) — National → H4036-805-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-805-000 — Anthem Medicare Preferred (PPO) — National → H4036-806-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-806-000 — Anthem Medicare Preferred (PPO) — National → H4036-807-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-807-000 — Anthem Medicare Preferred (PPO) — National → H4036-809-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-809-000 — Anthem Medicare Preferred (PPO) — National → H4036-810-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-810-000 — Anthem Medicare Preferred (PPO) — National → H4036-812-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-812-000 — Anthem Medicare Preferred (PPO) — National → H4036-813-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-813-000 — Anthem Medicare Preferred (PPO) — National → H4036-814-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-814-000 — Anthem Medicare Preferred (PPO) — National → H4036-819-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-819-000 — Anthem Medicare Preferred (PPO) — National → H4036-820-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-820-000 — Anthem Medicare Preferred (PPO) — National → H4036-821-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-821-000 — Anthem Medicare Preferred (PPO) — National → H4036-822-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-822-000 — Anthem Medicare Preferred (PPO) — National → H4036-823-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-823-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-824-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-824-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-825-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-825-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-826-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-826-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-827-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-827-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4036-828-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-828-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4036-829-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-829-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4036-830-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-830-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4213-801-000PFFS
Arkansas Blue Medicare
BlueMedicare Preferred Group CY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-801-000 — BlueMedicare Preferred Group CY (PFFS) — Employer Group Plan → H4213-802-000PFFS
Arkansas Blue Medicare
BlueMedicare Preferred Group NCY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-802-000 — BlueMedicare Preferred Group NCY (PFFS) — Employer Group Plan → H4213-803-000PFFS
Arkansas Blue Medicare
BlueMedicare Value Group CY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-803-000 — BlueMedicare Value Group CY (PFFS) — Employer Group Plan → H4213-804-000PFFS
Arkansas Blue Medicare
BlueMedicare Value Group NCY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-804-000 — BlueMedicare Value Group NCY (PFFS) — Employer Group Plan → H4461-056-000HMO
Humana
Humana Total Complete (HMO) · Maricopa County
H4461-056-000 — Humana Total Complete (HMO) — Maricopa County → H4461-059-000HMO
Humana
Humana Total Complete (HMO) · Pima and Pinal counties
H4461-059-000 — Humana Total Complete (HMO) — Pima and Pinal counties → H4461-063-000HMO
Humana
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) · Maricopa County
Special Needs Plan
H4461-063-000 — Humana Gold Plus - Diabetes and Heart (HMO C-SNP) — Maricopa County → H4461-806-000HMO
Humana
Humana Medicare Employer (HMO) · Select counties in East Tennessee area
Employer/retiree group
H4461-806-000 — Humana Medicare Employer (HMO) — Select counties in East Tennessee area → H4461-807-000HMO
Humana
Humana Medicare Employer (HMO) · Select counties in East Tennessee area
Employer/retiree group
H4461-807-000 — Humana Medicare Employer (HMO) — Select counties in East Tennessee area → H4461-810-000HMO
Humana
Humana Medicare Employer (HMO) · Select counties in East Tennessee area
Employer/retiree group
H4461-810-000 — Humana Medicare Employer (HMO) — Select counties in East Tennessee area → H4461-811-000HMO
Humana
Humana Medicare Employer (HMO) · Select counties in East Tennessee area
Employer/retiree group
H4461-811-000 — Humana Medicare Employer (HMO) — Select counties in East Tennessee area → H4497-801-000Local PPO
Medical Mutual of Ohio
MedMutual Advantage EGWP (Calendar Year) (PPO) · Ohio Regions
Employer/retiree group
H4497-801-000 — MedMutual Advantage EGWP (Calendar Year) (PPO) — Ohio Regions → H4497-802-000Local PPO
Medical Mutual of Ohio
MedMutual Advantage EGWP (Non-Calendar Year) (PPO) · Ohio Regions
Employer/retiree group
H4497-802-000 — MedMutual Advantage EGWP (Non-Calendar Year) (PPO) — Ohio Regions → H4497-803-000Local PPO
Medical Mutual of Ohio
MedMutual Advantage EGWP (MA-Only) (PPO) · Ohio Regions
Employer/retiree group
H4497-803-000 — MedMutual Advantage EGWP (MA-Only) (PPO) — Ohio Regions → H4513-821-000HMO
HealthSpring
HealthSpring Preferred (HMO) · Nationwide
Employer/retiree group
H4513-821-000 — HealthSpring Preferred (HMO) — Nationwide → H4523-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Texas
Employer/retiree group
H4523-801-000 — Aetna Medicare Plan (HMO) — Texas → H4523-802-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Texas
Employer/retiree group
H4523-802-000 — Aetna Medicare Plan w/Rx (HMO) — Texas → H4523-805-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Texas
Employer/retiree group
H4523-805-000 — Aetna Medicare Plan (HMO) — Texas → H4605-801-000Local PPO
Regence BlueCross BlueShield of Utah
Regence MedAdvantage (PPO) · Nationwide except territories
Employer/retiree group
H4605-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories → H4605-802-000Local PPO
Regence BlueCross BlueShield of Utah
Regence MedAdvantage + Rx (PPO) · Nationwide except territories
Employer/retiree group
H4605-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories → H4711-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Colorado and Nevada
Employer/retiree group
H4711-801-000 — Aetna Medicare Plan (HMO) — Colorado and Nevada → H4835-002-000HMO
Aetna Medicare
Aetna Medicare Signature (HMO) · Maricopa, Pima and Pinal Counties
H4835-002-000 — Aetna Medicare Signature (HMO) — Maricopa, Pima and Pinal Counties → H4835-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Arizona
Employer/retiree group
H4835-801-000 — Aetna Medicare Plan (HMO) — Arizona → H4869-001-000HMOPOS
Gold Kidney Health Plan
Gold Heart & Diabetes (HMO-POS C-SNP) · Counties: GA, MA, PA, PL
Special Needs Plan
H4869-001-000 — Gold Heart & Diabetes (HMO-POS C-SNP) — Counties: GA, MA, PA, PL → H4869-003-000HMOPOS
Gold Kidney Health Plan
Gold Dialysis & Kidney (HMO-POS C-SNP) · Counties: GA, MA, PA, PL
Special Needs Plan
H4869-003-000 — Gold Dialysis & Kidney (HMO-POS C-SNP) — Counties: GA, MA, PA, PL → H4869-011-000HMOPOS
Gold Kidney Health Plan
Gold Heart & Diabetes (HMO-POS C-SNP) · Counties: CH, CO, GH, and NV
Special Needs Plan
H4869-011-000 — Gold Heart & Diabetes (HMO-POS C-SNP) — Counties: CH, CO, GH, and NV → H4869-013-000HMOPOS
Gold Kidney Health Plan
Gold Dialysis & Kidney (HMO-POS C-SNP) · Counties: CH, CO, GH, and NV
Special Needs Plan
H4869-013-000 — Gold Dialysis & Kidney (HMO-POS C-SNP) — Counties: CH, CO, GH, and NV →