H4004-826-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group E Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-826-000 — PMC Group E Calendar (HMO-POS) — Puerto Rico → H4004-827-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group E Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-827-000 — PMC Group E Non-Calendar (HMO-POS) — Puerto Rico → H4004-828-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group F Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-828-000 — PMC Group F Calendar (HMO-POS) — Puerto Rico → H4004-829-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group F Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-829-000 — PMC Group F Non-Calendar (HMO-POS) — Puerto Rico → H4004-830-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group G Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-830-000 — PMC Group G Calendar (HMO-POS) — Puerto Rico → H4004-831-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group G Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-831-000 — PMC Group G Non-Calendar (HMO-POS) — Puerto Rico → H4004-832-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group H Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-832-000 — PMC Group H Calendar (HMO-POS) — Puerto Rico → H4004-833-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group H Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-833-000 — PMC Group H Non-Calendar (HMO-POS) — Puerto Rico → 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) → H4140-013-000HMO
Doctors HealthCare Plans, Inc.
DrFullDual-SFL (HMO D-SNP) · Miami-Dade and Broward Counties
Special Needs Plan
H4140-013-000 — DrFullDual-SFL (HMO D-SNP) — Miami-Dade and Broward Counties → H4140-017-000HMO
Doctors HealthCare Plans, Inc.
DrFullDual-CFL (HMO D-SNP) · Counties: HSB, ORG, OSC, PSC, PLK, SEM
Special Needs Plan
H4140-017-000 — DrFullDual-CFL (HMO D-SNP) — Counties: HSB, ORG, OSC, PSC, PLK, SEM → H4140-020-000HMO
Doctors HealthCare Plans, Inc.
DrPartialDual-SFL (HMO D-SNP) · Miami -Dade and Broward Counties
Special Needs Plan
H4140-020-000 — DrPartialDual-SFL (HMO D-SNP) — Miami -Dade and Broward Counties → H4140-021-000HMO
Doctors HealthCare Plans, Inc.
DrPartialDual-CFL (HMO D-SNP) · Counties: HSB, ORG, OSC, PSC, PLK, SEM
Special Needs Plan
H4140-021-000 — DrPartialDual-CFL (HMO D-SNP) — Counties: HSB, ORG, OSC, PSC, PLK, SEM → H4140-022-000HMO
Doctors HealthCare Plans, Inc.
DrMax-Dade (HMO) · Miami-Dade County
H4140-022-000 — DrMax-Dade (HMO) — Miami-Dade County → H4140-023-000HMO
Doctors HealthCare Plans, Inc.
DrSelect-SFL (HMO) · Miami-Dade and Broward Counties
H4140-023-000 — DrSelect-SFL (HMO) — Miami-Dade and Broward Counties → H4140-024-000HMO
Doctors HealthCare Plans, Inc.
DrExtraCare-SFL (HMO C-SNP) · Miami -Dade and Broward Counties
Special Needs Plan
H4140-024-000 — DrExtraCare-SFL (HMO C-SNP) — Miami -Dade and Broward Counties → H4140-025-000HMO
Doctors HealthCare Plans, Inc.
DrSelect-CFL (HMO) · Counties: HSB, ORG, OSC, PSC, PLK, SEM
H4140-025-000 — DrSelect-CFL (HMO) — Counties: HSB, ORG, OSC, PSC, PLK, SEM → H4140-026-000HMO
Doctors HealthCare Plans, Inc.
DrExtraCare-CFL (HMO C-SNP) · Counties: HSB, ORG, OSC, PSC, PLK, SEM
Special Needs Plan
H4140-026-000 — DrExtraCare-CFL (HMO C-SNP) — Counties: HSB, ORG, OSC, PSC, PLK, SEM → 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 → H4286-001-000HMO
Leon Health, Inc.
Leon MediExtra (HMO) · Leon MediExtra Miami Dade
H4286-001-000 — Leon MediExtra (HMO) — Leon MediExtra Miami Dade → H4286-002-000HMO
Leon Health, Inc.
Leon MediDual (HMO D-SNP) · Leon MediDual Miami Dade
Special Needs Plan
H4286-002-000 — Leon MediDual (HMO D-SNP) — Leon MediDual Miami Dade → H4286-003-000HMO
Leon Health, Inc.
Leon MediMore (HMO) · Leon MediMore Miami Dade
H4286-003-000 — Leon MediMore (HMO) — Leon MediMore Miami Dade → H4286-005-000HMO
Leon Health, Inc.
Leon MediMax (HMO D-SNP) · Leon MediMax Miami Dade
Special Needs Plan
H4286-005-000 — Leon MediMax (HMO D-SNP) — Leon MediMax Miami Dade → 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 → H4835-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Arizona
Employer/retiree group
H4835-801-000 — Aetna Medicare Plan (HMO) — Arizona → H4875-803-000Local PPO
Priority Health Medicare
PriorityMedicare PPO EG Non-Calendar Year (PPO) · National
Employer/retiree group
H4875-803-000 — PriorityMedicare PPO EG Non-Calendar Year (PPO) — National → H4875-804-000Local PPO
Priority Health Medicare
PriorityMedicare PPO EG Calendar Year (PPO) · National
Employer/retiree group
H4875-804-000 — PriorityMedicare PPO EG Calendar Year (PPO) — National → H4875-805-000Local PPO
Priority Health Medicare
PriorityMedicare PPO No RX EGWP Calendar (PPO) · National
Employer/retiree group
H4875-805-000 — PriorityMedicare PPO No RX EGWP Calendar (PPO) — National → H4875-806-000Local PPO
Priority Health Medicare
PriorityMedicare PPO No RX EGWP Non-Calendar (PPO) · National
Employer/retiree group
H4875-806-000 — PriorityMedicare PPO No RX EGWP Non-Calendar (PPO) — National → H4875-807-000Local PPO
Priority Health Medicare
PriorityMedicare EG Calendar Year $50 Part B PPO (PPO) · United States and its territories
Employer/retiree group
H4875-807-000 — PriorityMedicare EG Calendar Year $50 Part B PPO (PPO) — United States and its territories → H4875-810-000Local PPO
Priority Health Medicare
PriorityMedicare EG Calendar Year $125 Buy Back (PPO) · United States and its territories
Employer/retiree group
H4875-810-000 — PriorityMedicare EG Calendar Year $125 Buy Back (PPO) — United States and its territories → H4882-801-000Local PPO
HealthPartners
HealthPartners Group MAPD CY (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-801-000 — HealthPartners Group MAPD CY (PPO) — All States Excluding Cost Counties → H4882-803-000Local PPO
HealthPartners
HealthPartners Group MA Only (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-803-000 — HealthPartners Group MA Only (PPO) — All States Excluding Cost Counties → H4882-804-000Local PPO
HealthPartners
HealthPartners Group II MAPD CY (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-804-000 — HealthPartners Group II MAPD CY (PPO) — All States Excluding Cost Counties → H4882-805-000Local PPO
HealthPartners
HealthPartners Group II MA Only (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-805-000 — HealthPartners Group II MA Only (PPO) — All States Excluding Cost Counties → H4882-806-000Local PPO
HealthPartners
HealthPartners Group III MAPD CY (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-806-000 — HealthPartners Group III MAPD CY (PPO) — All States Excluding Cost Counties → H4909-804-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-804-000 — Anthem Medicare Preferred (PPO) — National → H4909-805-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-805-000 — Anthem Medicare Preferred (PPO) — National → H4909-810-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-810-000 — Anthem Medicare Preferred (PPO) — National → H4909-811-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-811-000 — Anthem Medicare Preferred (PPO) — National → H4909-812-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-812-000 — Anthem Medicare Preferred (PPO) — National → H4909-814-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-814-000 — Anthem Medicare Preferred (PPO) — National → H4909-815-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-815-000 — Anthem Medicare Preferred (PPO) — National → H4909-817-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-817-000 — Anthem Medicare Preferred (PPO) — National → H4909-818-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-818-000 — Anthem Medicare Preferred (PPO) — National → H4919-001-000National Pace
InnovAge Florida PACE - Tampa
InnovAge Florida PACE - Tampa - Dual Eligible (PACE) · Hernando, Hillsborough, Pasco
H4919-001-000 — InnovAge Florida PACE - Tampa - Dual Eligible (PACE) — Hernando, Hillsborough, Pasco → H4919-002-000National Pace
InnovAge Florida PACE - Tampa
InnovAge Florida PACE - Tampa - Medicare Only (PACE) · Hernando, Hillsborough, Pasco
H4919-002-000 — InnovAge Florida PACE - Tampa - Medicare Only (PACE) — Hernando, Hillsborough, Pasco → H4937-801-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-801-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-802-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-802-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-803-000Local PPO
Blue Shield of California
Blue Shield Medicare without Rx (PPO) · GMA-only PPO
Employer/retiree group
H4937-803-000 — Blue Shield Medicare without Rx (PPO) — GMA-only PPO → H4937-804-000Local PPO
Blue Shield of California
Blue Shield Medicare without Rx (PPO) · GMA-only PPO
Employer/retiree group
H4937-804-000 — Blue Shield Medicare without Rx (PPO) — GMA-only PPO → H4937-805-000Local PPO
Blue Shield of California
CCPOA Medical Plan Medicare (PPO) · GMAPD PPO for CCPOA Only
Employer/retiree group
H4937-805-000 — CCPOA Medical Plan Medicare (PPO) — GMAPD PPO for CCPOA Only → H4937-806-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO Part B Only
Employer/retiree group
H4937-806-000 — Blue Shield Medicare (PPO) — GMAPD PPO Part B Only → H4937-807-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO Part B Only
Employer/retiree group
H4937-807-000 — Blue Shield Medicare (PPO) — GMAPD PPO Part B Only → H4937-808-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-808-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-809-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-809-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-810-000Local PPO
Blue Shield of California
CCPOA Medical Plan Medicare (PPO) · GMA-only PPO for CCPOA Only
Employer/retiree group
H4937-810-000 — CCPOA Medical Plan Medicare (PPO) — GMA-only PPO for CCPOA Only → H4961-801-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-801-000 — Alignment Health Plan Retiree Options (PPO) — National → H4961-802-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-802-000 — Alignment Health Plan Retiree Options (PPO) — National → H4961-803-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-803-000 — Alignment Health Plan Retiree Options (PPO) — National → H4961-804-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-804-000 — Alignment Health Plan Retiree Options (PPO) — National → H4982-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · California
Employer/retiree group
H4982-801-000 — Aetna Medicare Plan (HMO) — California → H5009-801-000Local PPO
Regence BlueShield
Regence MedAdvantage (PPO) · Nationwide except territories
Employer/retiree group
H5009-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories → H5009-802-000Local PPO
Regence BlueShield
Regence MedAdvantage + Rx (PPO) · Nationwide except territories
Employer/retiree group
H5009-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories →