Georgia Medicare Plans 2027 | Medicare Plan Lookup

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Browse Medicare plans by county

These counties have named exact plan-segment medical geography entries in the current Contract Year 2027 release. Contract-level and standalone Part D geography is kept out of county cards; partial-county entries remain labeled for verification.

State plan directory

Plans reported in Georgia

Plan and service-area labels below are reproduced from CMS records; county availability, eligibility, and enrollment rules can vary. Plan types represented include Employer/Union Only Direct Contract PDP, HMO, HMOPOS, Local PPO, MSA, Medicare Prescription Drug Plan, PFFS, Regional PPO.

E3014-801-000Employer/Union Only Direct Contract PDP

Pennsylvania Public School Employees Retirement Sy

PSERS Health Options Program Plus (Employer PDP) · National

Part D

E3014-801-000 — PSERS Health Options Program Plus (Employer PDP) — National

E3014-802-000Employer/Union Only Direct Contract PDP

Pennsylvania Public School Employees Retirement Sy

PSERS Health Options Program Standard (Employer PDP) · National

Part D

E3014-802-000 — PSERS Health Options Program Standard (Employer PDP) — National

H0104-801-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 801 (PPO) · State of Alabama

H0104-801-000 — Blue Advantage Employer Group Plan 801 (PPO) — State of Alabama

H0104-802-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 802 (PPO) · State of Alabama

H0104-802-000 — Blue Advantage Employer Group Plan 802 (PPO) — State of Alabama

H0104-804-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 804 (PPO) · State of Alabama

H0104-804-000 — Blue Advantage Employer Group Plan 804 (PPO) — State of Alabama

H0104-805-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 805 (PPO) · State of Alabama

H0104-805-000 — Blue Advantage Employer Group Plan 805 (PPO) — State of Alabama

H0104-806-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 806 (PPO) · State of Alabama

H0104-806-000 — Blue Advantage Employer Group Plan 806 (PPO) — State of Alabama

H0104-807-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 807 (PPO) · State of Alabama

H0104-807-000 — Blue Advantage Employer Group Plan 807 (PPO) — State of Alabama

H0104-808-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 808 (PPO) · State of Alabama

H0104-808-000 — Blue Advantage Employer Group Plan 808 (PPO) — State of Alabama

H0104-809-000Local PPO

Blue Cross and Blue Shield of Alabama

Blue Advantage Employer Group Plan 809 (PPO) · State of Alabma

H0104-809-000 — Blue Advantage Employer Group Plan 809 (PPO) — State of Alabma

H0107-801-000Local PPO

Blue Cross and Blue Shield of Montana

Blue Cross Group Medicare Advantage Plan (PPO) · Nationwide

H0107-801-000 — Blue Cross Group Medicare Advantage Plan (PPO) — Nationwide

H0107-802-000Local PPO

Blue Cross and Blue Shield of Montana

Blue Cross Group Medicare Advantage Plan (PPO) · Nationwide

H0107-802-000 — Blue Cross Group Medicare Advantage Plan (PPO) — Nationwide

H0107-803-000Local PPO

Blue Cross and Blue Shield of Montana

Blue Cross Group Medicare Advantage Plan (PPO) · Nationwide

H0107-803-000 — Blue Cross Group Medicare Advantage Plan (PPO) — Nationwide

H0107-806-000Local PPO

Blue Cross and Blue Shield of Montana

Blue Cross Group Medicare Advantage Plan (PPO) · Nationwide

H0107-806-000 — Blue Cross Group Medicare Advantage Plan (PPO) — Nationwide

H0107-813-000Local PPO

Blue Cross and Blue Shield of Montana

Blue Cross Group Medicare Advantage Plan (PPO) · Nationwide

H0107-813-000 — Blue Cross Group Medicare Advantage Plan (PPO) — Nationwide

H0107-817-000Local PPO

Blue Cross and Blue Shield of Montana

Blue Cross Group Medicare Advantage Plan (PPO) · Nationwide

H0107-817-000 — Blue Cross Group Medicare Advantage Plan (PPO) — Nationwide

H0107-821-000Local PPO

Blue Cross and Blue Shield of Montana

Blue Cross Group Medicare Advantage Plan (PPO) · Nationwide

H0107-821-000 — Blue Cross Group Medicare Advantage Plan (PPO) — Nationwide

H0111-001-000Local PPO

Wellcare

Wellcare Simple Open (PPO) · Select counties in GA

H0111-001-000 — Wellcare Simple Open (PPO) — Select counties in GA

H0111-004-000Local PPO

Wellcare

Wellcare Peach State Health Plan Dual Access Open (PPO D-SNP) · Select counties in GA

Special Needs Plan

H0111-004-000 — Wellcare Peach State Health Plan Dual Access Open (PPO D-SNP) — Select counties in GA

H0111-007-000Local PPO

Wellcare

Wellcare Patriot Giveback Open (PPO) · Select counties in GA

H0111-007-000 — Wellcare Patriot Giveback Open (PPO) — Select counties in GA

H0279-801-000Local PPO

Independence Blue Cross

Blue Medicare Advantage RetireSecure Rx (PPO) · National

H0279-801-000 — Blue Medicare Advantage RetireSecure Rx (PPO) — National

H0279-802-000Local PPO

Independence Blue Cross

Blue Medicare Advantage RetireSecure (PPO) · National

H0279-802-000 — Blue Medicare Advantage RetireSecure (PPO) — National

H0279-803-000Local PPO

Independence Blue Cross

Blue Medicare Advantage RetireSecure RxG (PPO) · National

H0279-803-000 — Blue Medicare Advantage RetireSecure RxG (PPO) — National

H0439-002-000HMO

HealthSpring

HealthSpring TotalCare (HMO D-SNP) · Georgia

UnitedHealthcare

UHC Nursing Home Plan GA-F001 (PPO I-SNP) · Select Counties in Georgia

H1170-013-000 — Kaiser Permanente Senior Advantage Care Plus (HMO-POS) — Atlanta Metro Area

H1170-014-000HMO

Kaiser Permanente

Kaiser Permanente Senior Advantage Liberty (HMO) · Atlanta Full Metro Area

H1170-014-000 — Kaiser Permanente Senior Advantage Liberty (HMO) — Atlanta Full Metro Area

H1170-015-000HMO

Kaiser Permanente

Kaiser Permanente Dual Complete (HMO D-SNP) · Atlanta Metro Area

UHC Complete Care GA-3 (PPO C-SNP) · Select Counties in Georgia

Special Needs Plan

H1889-020-000 — UHC Complete Care GA-3 (PPO C-SNP) — Select Counties in Georgia

H1889-022-000Local PPO

UnitedHealthcare

AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) · Select Counties in Georgia

H1889-022-000 — AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) — Select Counties in Georgia

H1889-028-000Local PPO

UnitedHealthcare

UHC Complete Care Support GA-9 (PPO C-SNP) · Select Counties in Georgia

Aetna Medicare Eagle Extra Plus (PPO) · Statewide - GA

H2293-009-000 — Aetna Medicare Eagle Extra Plus (PPO) — Statewide - GA

H2293-010-000Local PPO

Aetna Medicare

Aetna Medicare Elite Giveback (PPO) · Select Counties in Atlanta Metro

H2293-010-000 — Aetna Medicare Elite Giveback (PPO) — Select Counties in Atlanta Metro

H2293-021-000Local PPO

Aetna Medicare

PruittHealth Premier (HMO I-SNP) · Georgia (partial)

Special Needs Plan

H3291-001-000 — PruittHealth Premier (HMO I-SNP) — Georgia (partial)

H3291-002-000HMO

PruittHealth Premier

PruittHealth Premier D-SNP (HMO D-SNP) · Georgia (partial)

Special Needs Plan

H3291-002-000 — PruittHealth Premier D-SNP (HMO D-SNP) — Georgia (partial)

H3291-003-000HMO

PruittHealth Premier

PruittHealth Premier Advantage (HMO I-SNP) · Georgia (partial)

Special Needs Plan

H3291-003-000 — PruittHealth Premier Advantage (HMO I-SNP) — Georgia (partial)

H3312-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · New York

H3312-801-000 — Aetna Medicare Plan (HMO) — New York

H3312-804-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · New York

H3312-804-000 — Aetna Medicare Plan w/Rx (HMO) — New York

H3312-807-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · New York

H3312-807-000 — Aetna Medicare Plan (HMO) — New York

H3330-814-000HMO

EmblemHealth

EmblemHealth VIP Premier (HMO) · New York

H3330-814-000 — EmblemHealth VIP Premier (HMO) — New York

H3330-815-000HMO

EmblemHealth

EmblemHealth VIP Rx Carveout (HMO) · New York

H3330-815-000 — EmblemHealth VIP Rx Carveout (HMO) — New York

H3330-820-000HMOPOS

EmblemHealth

EmblemHealth VIP Choice (HMO-POS) · New York

H3330-820-000 — EmblemHealth VIP Choice (HMO-POS) — New York

H3330-821-000HMOPOS

EmblemHealth

EmblemHealth VIP Choice Rx Carveout (HMO-POS) · New York

H3330-821-000 — EmblemHealth VIP Choice Rx Carveout (HMO-POS) — New York

H3335-811-000Local PPO

Excellus Health Plan, Inc

Medicare Blue PPO Group (PPO) · National and Puerto Rico

H3335-811-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H3335-819-000Local PPO

Excellus Health Plan, Inc

Medicare Blue PPO Group (PPO) · National and Puerto Rico

H3335-819-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H3335-820-000Local PPO

Excellus Health Plan, Inc

Medicare Blue PPO Group Non-Calendar (PPO) · National and Puerto Rico

H3335-820-000 — Medicare Blue PPO Group Non-Calendar (PPO) — National and Puerto Rico

H3335-824-000Local PPO

Excellus Health Plan, Inc

Univera Medicare PPO Group (PPO) · National & Puerto Rico

H3335-824-000 — Univera Medicare PPO Group (PPO) — National & Puerto Rico

H3335-825-000Local PPO

Excellus Health Plan, Inc

Univera Medicare PPO Group (PPO) · All US & Puerto Rico

H3335-825-000 — Univera Medicare PPO Group (PPO) — All US & Puerto Rico

H3344-801-000Local PPO

Independent Health

Independent Health's Medicare PPO Base (PPO) · IH Network and Medicare Deemed Network

H3344-801-000 — Independent Health's Medicare PPO Base (PPO) — IH Network and Medicare Deemed Network

H3344-804-000Local PPO

Independent Health

Independent Health's Medicare PPO Base (PPO) · IH Network and Medicare Deemed Network

H3344-804-000 — Independent Health's Medicare PPO Base (PPO) — IH Network and Medicare Deemed Network

H3344-805-000Local PPO

Independent Health

Independent Health's Medicare PPO Base (PPO) · National Service Area

H3344-805-000 — Independent Health's Medicare PPO Base (PPO) — National Service Area

H3359-808-000HMO

Healthfirst Medicare Plan

Healthfirst Employer Group 1 (HMO) · United States

H3359-808-000 — Healthfirst Employer Group 1 (HMO) — United States

H3359-809-000HMO

Healthfirst Medicare Plan

Healthfirst Employer Group 2 (HMO) · United States

H3359-809-000 — Healthfirst Employer Group 2 (HMO) — United States

H3362-807-000HMOPOS

Independent Health

Independent Health's Medicare Encompass (HMO-POS) · IH Network and Medicare Deemed Network

H3362-807-000 — Independent Health's Medicare Encompass (HMO-POS) — IH Network and Medicare Deemed Network

H3362-819-000HMOPOS

Independent Health

Independent Health's Medicare Encompass (HMO-POS) · IH Network and Medicare Deemed Network

H3362-819-000 — Independent Health's Medicare Encompass (HMO-POS) — IH Network and Medicare Deemed Network

H3404-801-000Local PPO

Blue Cross and Blue Shield of North Carolina

Blue Medicare PPO EGWP Medical Only (PPO) · North Carolina Employer Groups

H3404-801-000 — Blue Medicare PPO EGWP Medical Only (PPO) — North Carolina Employer Groups

H3404-810-000Local PPO

Blue Cross and Blue Shield of North Carolina

Blue Medicare PPO EGWP Complete (PPO) · NC Employer Groups

H3404-810-000 — Blue Medicare PPO EGWP Complete (PPO) — NC Employer Groups

H3404-811-000Local PPO

Blue Cross and Blue Shield of North Carolina

Blue Medicare PPO EGWP Classic (PPO) · NC Employer Groups

H3404-811-000 — Blue Medicare PPO EGWP Classic (PPO) — NC Employer Groups

H3557-801-000Local PPO

Blue Cross & Blue Shield of Rhode Island

HealthMate Coast-to-Coast for Medicare Group (PPO) · RI, Nationwide

H3557-801-000 — HealthMate Coast-to-Coast for Medicare Group (PPO) — RI, Nationwide

H3557-802-000Local PPO

Blue Cross & Blue Shield of Rhode Island

HealthMate Coast-to-Coast for Medicare Group (PPO) · RI, Nationwide

H3557-802-000 — HealthMate Coast-to-Coast for Medicare Group (PPO) — RI, Nationwide

H3557-803-000Local PPO

Blue Cross & Blue Shield of Rhode Island

HealthMate Coast-to-Coast for Medicare Group (PPO) · RI, Nationwide

H3557-803-000 — HealthMate Coast-to-Coast for Medicare Group (PPO) — RI, Nationwide

H3597-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Maine

H3597-801-000 — Aetna Medicare Plan (HMO) — Maine

H3597-802-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · Maine

H3597-802-000 — Aetna Medicare Plan w/Rx (HMO) — Maine

H3597-804-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Maine

H3597-804-000 — Aetna Medicare Plan (HMO) — Maine

H3642-801-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-801-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-802-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-802-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-803-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-803-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-804-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-804-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-805-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-805-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-806-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-806-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-807-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-807-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-808-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-808-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-809-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-809-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-810-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-810-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-811-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-811-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3642-812-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H3642-812-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H3660-801-000HMO

SummaCare Medicare Advantage Plans

SummaCare Medicare Employer Plan with Part D (HMO) · Nationwide Service Area

H3660-801-000 — SummaCare Medicare Employer Plan with Part D (HMO) — Nationwide Service Area

H3660-805-000HMOPOS

SummaCare Medicare Advantage Plans

SummaCare Medicare Employer Plan with Part D (HMO-POS) · Nationwide Service Area

H3660-805-000 — SummaCare Medicare Employer Plan with Part D (HMO-POS) — Nationwide Service Area

H3664-801-000HMOPOS

PrimeTime Health Plan

PrimeTime Health Plan Employer Group HMO - CY (HMO-POS) · National Service Area

H3664-801-000 — PrimeTime Health Plan Employer Group HMO - CY (HMO-POS) — National Service Area

H3664-802-000HMOPOS

PrimeTime Health Plan

PrimeTime Health Plan Employer Group HMO MA-Only (HMO-POS) · National Service Area

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

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

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

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

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

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

H3748-801-000 — Aetna Medicare Plan (HMO) — Washington

H3817-801-000Local PPO

Regence BlueCross BlueShield of Oregon

Regence MedAdvantage (PPO) · Nationwide except territories

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

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

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

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

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

H3832-807-000 — HMSA Akamai Advantage Union Group Plan MAPD (PPO) — National

H3890-801-000Local PPO

Johns Hopkins Advantage MD

Johns Hopkins Advantage MD Group Plan CY (PPO) · DC, DE, FL, GA, MD, NC, PA, SC, VA

H3890-801-000 — Johns Hopkins Advantage MD Group Plan CY (PPO) — DC, DE, FL, GA, MD, NC, PA, SC, VA

H3907-801-000HMO

UPMC for Life

UPMC Employer Group (HMO) · Western Pennsylvania

H3907-801-000 — UPMC Employer Group (HMO) — Western Pennsylvania

H3907-802-000HMO

UPMC for Life

UPMC Employer Group Rx (HMO) · Western Pennsylvania

H3907-802-000 — UPMC Employer Group Rx (HMO) — Western Pennsylvania

H3907-803-000HMO

UPMC for Life

UPMC Employer Group Rx (HMO) · Western Pennsylvania

H3907-803-000 — UPMC Employer Group Rx (HMO) — Western Pennsylvania

H3907-804-000HMO

UPMC for Life

UPMC PSHB Employer Group Rx (HMO) · Pennsylvania

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

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

H3909-802-000 — Personal Choice 65 Group Rx (PPO) — National

H3909-803-000Local PPO

Independence Blue Cross

Personal Choice 65 Group RxG (PPO) · National

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

H3923-832-000 — Capital Blue Cross Group No Rx (FY) (PPO) — National

H3928-801-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · Louisiana

H3928-801-000 — Aetna Medicare Plan w/Rx (HMO) — Louisiana

H3928-803-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Louisiana

H3928-803-000 — Aetna Medicare Plan (HMO) — Louisiana

H3928-805-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Louisiana

H3928-805-000 — Aetna Medicare Plan (HMO) — Louisiana

H3931-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Pennsylvania

H3931-801-000 — Aetna Medicare Plan (HMO) — Pennsylvania

H3931-804-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · Pennsylvania

H3931-804-000 — Aetna Medicare Plan w/Rx (HMO) — Pennsylvania

H3931-808-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Pennsylvania

H3931-808-000 — Aetna Medicare Plan (HMO) — Pennsylvania

H3959-804-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · Pennsylvania

H3959-804-000 — Aetna Medicare Plan w/Rx (HMO) — Pennsylvania

H3962-801-000HMO

Capital Blue Cross

Capital Blue Cross Group Rx (CY) (HMO) · National

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

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

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

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

H3962-828-000 — Capital Blue Cross Group No Rx (FY) (HMO) — National

H4003-806-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group A Calendar (HMO-POS) · Puerto Rico

H4003-806-000 — MMM Group A Calendar (HMO-POS) — Puerto Rico

H4003-807-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group B Calendar (HMO-POS) · Puerto Rico

H4003-807-000 — MMM Group B Calendar (HMO-POS) — Puerto Rico

H4003-820-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group C Calendar (HMO-POS) · Puerto Rico

H4003-820-000 — MMM Group C Calendar (HMO-POS) — Puerto Rico

H4003-821-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group D Calendar (HMO-POS) · Puerto Rico

H4003-821-000 — MMM Group D Calendar (HMO-POS) — Puerto Rico

H4003-822-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group A Non-Calendar (HMO-POS) · Puerto Rico

H4003-822-000 — MMM Group A Non-Calendar (HMO-POS) — Puerto Rico

H4003-823-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group B Non-Calendar (HMO-POS) · Puerto Rico

H4003-823-000 — MMM Group B Non-Calendar (HMO-POS) — Puerto Rico

H4003-824-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group C Non-Calendar (HMO-POS) · Puerto Rico

H4003-824-000 — MMM Group C Non-Calendar (HMO-POS) — Puerto Rico

H4003-825-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group D Non-Calendar (HMO-POS) · Puerto Rico

H4003-825-000 — MMM Group D Non-Calendar (HMO-POS) — Puerto Rico

H4003-826-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group E Calendar (HMO-POS) · Puerto Rico

H4003-826-000 — MMM Group E Calendar (HMO-POS) — Puerto Rico

H4003-827-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group E Non-Calendar (HMO-POS) · Puerto Rico

H4003-827-000 — MMM Group E Non-Calendar (HMO-POS) — Puerto Rico

H4003-828-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group F Calendar (HMO-POS) · Puerto Rico

H4003-828-000 — MMM Group F Calendar (HMO-POS) — Puerto Rico

H4003-829-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group F Non-Calendar (HMO-POS) · Puerto Rico

H4003-829-000 — MMM Group F Non-Calendar (HMO-POS) — Puerto Rico

H4003-830-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group G Calendar (HMO-POS) · Puerto Rico

H4003-830-000 — MMM Group G Calendar (HMO-POS) — Puerto Rico

H4003-831-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group G Non-Calendar (HMO-POS) · Puerto Rico

H4003-831-000 — MMM Group G Non-Calendar (HMO-POS) — Puerto Rico

H4003-832-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group H Calendar (HMO-POS) · Puerto Rico

H4003-832-000 — MMM Group H Calendar (HMO-POS) — Puerto Rico

H4003-833-000HMOPOS

Medicare y Mucho Mas (MMM)

MMM Group H Non -Calendar (HMO-POS) · Puerto Rico

H4003-833-000 — MMM Group H Non -Calendar (HMO-POS) — Puerto Rico

H4004-817-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group A Calendar (HMO-POS) · Puerto Rico

H4004-817-000 — PMC Group A Calendar (HMO-POS) — Puerto Rico

H4004-818-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group B Calendar (HMO-POS) · Puerto Rico

H4004-818-000 — PMC Group B Calendar (HMO-POS) — Puerto Rico

H4004-819-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group C Calendar (HMO-POS) · Puerto Rico

H4004-819-000 — PMC Group C Calendar (HMO-POS) — Puerto Rico

H4004-820-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group D Calendar (HMO-POS) · Puerto Rico

H4004-820-000 — PMC Group D Calendar (HMO-POS) — Puerto Rico

H4004-822-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group A Non-Calendar (HMO-POS) · Puerto Rico

H4004-822-000 — PMC Group A Non-Calendar (HMO-POS) — Puerto Rico

H4004-823-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group B Non-Calendar (HMO-POS) · Puerto Rico

H4004-823-000 — PMC Group B Non-Calendar (HMO-POS) — Puerto Rico

H4004-824-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group C Non-Calendar (HMO-POS) · Puerto Rico

H4004-824-000 — PMC Group C Non-Calendar (HMO-POS) — Puerto Rico

H4004-825-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group D Non-Calendar (HMO-POS) · Puerto Rico

H4004-825-000 — PMC Group D Non-Calendar (HMO-POS) — Puerto Rico

H4004-826-000HMOPOS

Medicare y Mucho Mas (MMM)

PMC Group E Calendar (HMO-POS) · Puerto Rico

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

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

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

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

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

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

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

H4004-833-000 — PMC Group H Non-Calendar (HMO-POS) — Puerto Rico

H4005-801-000Local PPO

Triple-S Advantage

Óptimo (PPO) · Puerto Rico

H4005-801-000 — Óptimo (PPO) — Puerto Rico

H4005-802-000Local PPO

Triple-S Advantage

Óptimo Plus A (PPO) · Puerto Rico

H4005-802-000 — Óptimo Plus A (PPO) — Puerto Rico

H4005-804-000Local PPO

Triple-S Advantage

Óptimo Plus B (PPO) · Puerto Rico

H4005-804-000 — Óptimo Plus B (PPO) — Puerto Rico

H4036-040-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Veteran (PPO) · Select counties in GA

H4036-040-000 — Anthem Veteran (PPO) — Select counties in GA

H4036-801-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-801-000 — Anthem Medicare Preferred (PPO) — National

H4036-802-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-802-000 — Anthem Medicare Preferred (PPO) — National

H4036-805-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-805-000 — Anthem Medicare Preferred (PPO) — National

H4036-806-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-806-000 — Anthem Medicare Preferred (PPO) — National

H4036-807-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-807-000 — Anthem Medicare Preferred (PPO) — National

H4036-809-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-809-000 — Anthem Medicare Preferred (PPO) — National

H4036-810-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-810-000 — Anthem Medicare Preferred (PPO) — National

H4036-812-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-812-000 — Anthem Medicare Preferred (PPO) — National

H4036-813-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-813-000 — Anthem Medicare Preferred (PPO) — National

H4036-814-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-814-000 — Anthem Medicare Preferred (PPO) — National

H4036-819-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-819-000 — Anthem Medicare Preferred (PPO) — National

H4036-820-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-820-000 — Anthem Medicare Preferred (PPO) — National

H4036-821-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-821-000 — Anthem Medicare Preferred (PPO) — National

H4036-822-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4036-822-000 — Anthem Medicare Preferred (PPO) — National

H4036-823-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National (MA)

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)

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)

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)

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)

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)

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)

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)

H4036-830-000 — Anthem Medicare Preferred (PPO) — National (MD)

H4141-003-000HMO

Humana

Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP) · Greater Georgia Area

Special Needs Plan

H4141-003-000 — Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP) — Greater Georgia Area

H4141-015-000HMO

H4513-080-000HMO

HealthSpring

HealthSpring TotalCare (HMO D-SNP) · North Georgia

Special Needs Plan

H4513-080-000 — HealthSpring TotalCare (HMO D-SNP) — North Georgia

H4513-821-000HMO

HealthSpring

HealthSpring Preferred (HMO) · Nationwide

H4513-821-000 — HealthSpring Preferred (HMO) — Nationwide

H4523-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Texas

H4523-801-000 — Aetna Medicare Plan (HMO) — Texas

H4523-802-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · Texas

H4523-802-000 — Aetna Medicare Plan w/Rx (HMO) — Texas

H4523-805-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Texas

H4523-805-000 — Aetna Medicare Plan (HMO) — Texas

H4605-801-000Local PPO

Regence BlueCross BlueShield of Utah

Regence MedAdvantage (PPO) · Nationwide except territories

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

H4605-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories

H4711-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Colorado and Nevada

H4711-801-000 — Aetna Medicare Plan (HMO) — Colorado and Nevada

H4835-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Arizona

H4835-801-000 — Aetna Medicare Plan (HMO) — Arizona

H4875-803-000Local PPO

Priority Health Medicare

PriorityMedicare PPO EG Non-Calendar Year (PPO) · National

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

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

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

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

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

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

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

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

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

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

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

H4909-804-000 — Anthem Medicare Preferred (PPO) — National

H4909-805-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-805-000 — Anthem Medicare Preferred (PPO) — National

H4909-810-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-810-000 — Anthem Medicare Preferred (PPO) — National

H4909-811-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-811-000 — Anthem Medicare Preferred (PPO) — National

H4909-812-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-812-000 — Anthem Medicare Preferred (PPO) — National

H4909-814-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-814-000 — Anthem Medicare Preferred (PPO) — National

H4909-815-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-815-000 — Anthem Medicare Preferred (PPO) — National

H4909-817-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-817-000 — Anthem Medicare Preferred (PPO) — National

H4909-818-000Local PPO

Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred (PPO) · National

H4909-818-000 — Anthem Medicare Preferred (PPO) — National

H4937-801-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO

H4937-801-000 — Blue Shield Medicare (PPO) — GMAPD PPO

H4937-802-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO

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

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

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

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

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

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

H4937-808-000 — Blue Shield Medicare (PPO) — GMAPD PPO

H4937-809-000Local PPO

Blue Shield of California

Blue Shield Medicare (PPO) · GMAPD PPO

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

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

H4961-801-000 — Alignment Health Plan Retiree Options (PPO) — National

H4961-802-000Local PPO

Alignment Health Plan

Alignment Health Plan Retiree Options (PPO) · National

H4961-802-000 — Alignment Health Plan Retiree Options (PPO) — National

H4961-803-000Local PPO

Alignment Health Plan

Alignment Health Plan Retiree Options (PPO) · National

H4961-803-000 — Alignment Health Plan Retiree Options (PPO) — National

H4961-804-000Local PPO

Alignment Health Plan

Alignment Health Plan Retiree Options (PPO) · National

H4961-804-000 — Alignment Health Plan Retiree Options (PPO) — National

H4982-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · California

H4982-801-000 — Aetna Medicare Plan (HMO) — California

H5009-801-000Local PPO

Regence BlueShield

Regence MedAdvantage (PPO) · Nationwide except territories

H5009-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories

H5009-802-000Local PPO

Regence BlueShield

Regence MedAdvantage + Rx (PPO) · Nationwide except territories

H5009-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories

H5042-807-000Local PPO

CDPHP Medicare Advantage

Medicare Blue PPO Group (PPO) · National and Puerto Rico

H5042-807-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H5042-808-000Local PPO

CDPHP Medicare Advantage

Medicare Blue PPO Group (PPO) · National and Puerto Rico

H5042-808-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H5042-809-000Local PPO

CDPHP Medicare Advantage

Medicare Blue PPO Group (PPO) · National and Puerto Rico

H5042-809-000 — Medicare Blue PPO Group (PPO) — National and Puerto Rico

H5042-811-000Local PPO

CDPHP Medicare Advantage

Univera Medicare PPO Group (PPO) · National and Puerto Rico

H5042-811-000 — Univera Medicare PPO Group (PPO) — National and Puerto Rico

H5042-812-000Local PPO

CDPHP Medicare Advantage

Univera Medicare PPO Group (PPO) · National and Puerto Rico

H5042-812-000 — Univera Medicare PPO Group (PPO) — National and Puerto Rico

H5106-806-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MAPD WV Performance (PPO) · ALL WV COUNTIES

H5106-806-000 — Freedom Blue PPO MAPD WV Performance (PPO) — ALL WV COUNTIES

H5106-807-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MA WV Calendar (PPO) · ALL WV COUNTIES

H5106-807-000 — Freedom Blue PPO MA WV Calendar (PPO) — ALL WV COUNTIES

H5106-808-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MAPD WV Incentive (PPO) · ALL WV COUNTIES

H5106-808-000 — Freedom Blue PPO MAPD WV Incentive (PPO) — ALL WV COUNTIES

H5106-810-000Local PPO

Highmark Blue Cross Blue Shield

Freedom Blue PPO MAPD WV ASO CALENDAR (PPO) · ALL WV COUNTIES

H5106-810-000 — Freedom Blue PPO MAPD WV ASO CALENDAR (PPO) — ALL WV COUNTIES

H5141-026-000Local PPO

Clover Health

Clover Health LiveHealthy (PPO) · Select Georgia Counties

H5141-026-000 — Clover Health LiveHealthy (PPO) — Select Georgia Counties

H5141-045-000Local PPO

Clover Health

Clover Health LiveHealthy Premier (PPO) · Select Georgia Counties

H5141-045-000 — Clover Health LiveHealthy Premier (PPO) — Select Georgia Counties

H5141-056-000Local PPO

Clover Health

Clover Health Valor (PPO) · Select Georgia and South Carolina Counties

H5141-056-000 — Clover Health Valor (PPO) — Select Georgia and South Carolina Counties

H5141-063-000Local PPO

Clover Health

Clover Health LiveHealthy Giveback (PPO) · Select Georgia and South Carolina Counties

H5141-063-000 — Clover Health LiveHealthy Giveback (PPO) — Select Georgia and South Carolina Counties

H5215-806-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 19 Giveback (PPO) · Wisconsin

H5215-806-000 — Network Health Employer CY Pharmacy 19 Giveback (PPO) — Wisconsin

H5215-807-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer (PPO) · Wisconsin

H5215-807-000 — Network Health Employer (PPO) — Wisconsin

H5215-808-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy (PPO) · Wisconsin

H5215-808-000 — Network Health Employer CY Pharmacy (PPO) — Wisconsin

H5215-809-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy (PPO) · Wisconsin

H5215-809-000 — Network Health Employer Pharmacy (PPO) — Wisconsin

H5215-810-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 19 Giveback (PPO) · Wisconsin

H5215-810-000 — Network Health Employer 19 Giveback (PPO) — Wisconsin

H5215-811-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 19 Giveback (PPO) · Wisconsin

H5215-811-000 — Network Health Employer Pharmacy 19 Giveback (PPO) — Wisconsin

H5215-812-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 10 Giveback (PPO) · Wisconsin

H5215-812-000 — Network Health Employer 10 Giveback (PPO) — Wisconsin

H5215-813-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 10 Giveback (PPO) · Wisconsin

H5215-813-000 — Network Health Employer CY Pharmacy 10 Giveback (PPO) — Wisconsin

H5215-814-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 10 Giveback (PPO) · Wisconsin

H5215-814-000 — Network Health Employer Pharmacy 10 Giveback (PPO) — Wisconsin

H5215-815-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 15 Giveback (PPO) · Wisconsin

H5215-815-000 — Network Health Employer 15 Giveback (PPO) — Wisconsin

H5215-816-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 15 Giveback (PPO) · Wisconsin

H5215-816-000 — Network Health Employer CY Pharmacy 15 Giveback (PPO) — Wisconsin

H5215-817-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 15 Giveback (PPO) · Wisconsin

H5215-817-000 — Network Health Employer Pharmacy 15 Giveback (PPO) — Wisconsin

H5215-818-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 20 Giveback (PPO) · Wisconsin

H5215-818-000 — Network Health Employer 20 Giveback (PPO) — Wisconsin

H5215-819-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 20 Giveback (PPO) · Wisconsin

H5215-819-000 — Network Health Employer CY Pharmacy 20 Giveback (PPO) — Wisconsin

H5215-820-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 20 Giveback (PPO) · Wisconsin

H5215-820-000 — Network Health Employer Pharmacy 20 Giveback (PPO) — Wisconsin

H5215-821-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 25 Giveback (PPO) · Wisconsin

H5215-821-000 — Network Health Employer 25 Giveback (PPO) — Wisconsin

H5215-822-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 25 Giveback (PPO) · Wisconsin

H5215-822-000 — Network Health Employer CY Pharmacy 25 Giveback (PPO) — Wisconsin

H5215-823-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 25 Giveback (PPO) · Wisconsin

H5215-823-000 — Network Health Employer Pharmacy 25 Giveback (PPO) — Wisconsin

H5215-824-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer 5 Giveback (PPO) · Wisconsin

H5215-824-000 — Network Health Employer 5 Giveback (PPO) — Wisconsin

H5215-825-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 5 Giveback (PPO) · Wisconsin

H5215-825-000 — Network Health Employer CY Pharmacy 5 Giveback (PPO) — Wisconsin

H5215-826-000Local PPO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 5 Giveback (PPO) · Wisconsin

H5215-826-000 — Network Health Employer Pharmacy 5 Giveback (PPO) — Wisconsin

H5216-154-000Local PPO

Humana

HumanaChoice Giveback H5216-154 (PPO) · Select Counties in Georgia and South Carolina

H5216-154-000 — HumanaChoice Giveback H5216-154 (PPO) — Select Counties in Georgia and South Carolina

H5216-157-000Local PPO

Humana

HumanaChoice H5216-157 (PPO) · Select Counties in Georgia and South Carolina

H5216-157-000 — HumanaChoice H5216-157 (PPO) — Select Counties in Georgia and South Carolina

H5216-203-001Local PPO

Humana

HumanaChoice H5216-203 (PPO) · Select counties in Georgia

H5216-203-001 — HumanaChoice H5216-203 (PPO) — Select counties in Georgia

H5216-203-002Local PPO

HumanaChoice H5216-207 (PPO) · Select Counties in Georgia

H5216-207-000 — HumanaChoice H5216-207 (PPO) — Select Counties in Georgia

H5216-217-000Local PPO

Aetna Medicare Signature Care (HMO) · Select HVP Counties Across GA

H5302-022-000 — Aetna Medicare Signature Care (HMO) — Select HVP Counties Across GA

H5302-024-000HMO

Aetna Medicare

Aetna Medicare Full Dual Care (HMO D-SNP) · Select Counties Across GA

Special Needs Plan

H5302-024-000 — Aetna Medicare Full Dual Care (HMO D-SNP) — Select Counties Across GA

H5302-026-000HMO

Aetna Medicare

Aetna Medicare Chronic Care (HMO C-SNP) · Select Counties in Atlanta Metro

Special Needs Plan

H5302-026-000 — Aetna Medicare Chronic Care (HMO C-SNP) — Select Counties in Atlanta Metro

H5302-028-000HMO

Aetna Medicare

Aetna Medicare Prime Care (HMO) · Select GA Counties

H5302-028-000 — Aetna Medicare Prime Care (HMO) — Select GA Counties

H5302-809-000HMO

Anthem Kidney Care (HMO-POS C-SNP) · Select Counties in GA

Special Needs Plan

H5422-015-000 — Anthem Kidney Care (HMO-POS C-SNP) — Select Counties in GA

H5422-018-000HMO

Anthem Blue Cross and Blue Shield

Anthem Dual Advantage (HMO D-SNP) · Select counties in GA

Special Needs Plan

H5422-018-000 — Anthem Dual Advantage (HMO D-SNP) — Select counties in GA

H5422-019-000HMO

Anthem Blue Cross and Blue Shield

DEVOTED CHOICE GIVEBACK EXTRAS 022 GA (PPO) · Greater Atlanta

H5453-022-000 — DEVOTED CHOICE GIVEBACK EXTRAS 022 GA (PPO) — Greater Atlanta

H5453-023-000Local PPO

Devoted Health

DEVOTED CHOICE GIVEBACK EXTRAS 023 GA (PPO) · Greater Georgia

H5453-023-000 — DEVOTED CHOICE GIVEBACK EXTRAS 023 GA (PPO) — Greater Georgia

H5453-024-000Local PPO

Devoted Health

DEVOTED CHOICE GIVEBACK EXTRAS 024 GA (PPO) · Augusta and Savannah

H5453-024-000 — DEVOTED CHOICE GIVEBACK EXTRAS 024 GA (PPO) — Augusta and Savannah

H5521-091-000Local PPO

Aetna Medicare

Aetna Medicare Elite (PPO) · Select Atlanta Metro Counties

H5521-091-000 — Aetna Medicare Elite (PPO) — Select Atlanta Metro Counties

H5521-364-000Local PPO

Aetna Medicare

Aetna Medicare Value Care (PPO) · Select Counties in Atlanta Metro

H5521-364-000 — Aetna Medicare Value Care (PPO) — Select Counties in Atlanta Metro

H5521-801-000Local PPO

Aetna Medicare

Aetna Medicare Plan (PPO) · National

H5521-801-000 — Aetna Medicare Plan (PPO) — National

H5521-805-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only Plan (PPO) · National

H5521-805-000 — Aetna Medicare Part B Only Plan (PPO) — National

H5522-802-000Local PPO

Aetna Medicare

Aetna Medicare Plan (PPO) · National

H5522-802-000 — Aetna Medicare Plan (PPO) — National

H5522-803-000Local PPO

Aetna Medicare

Aetna Medicare Plan w/Rx (PPO) · National

H5522-803-000 — Aetna Medicare Plan w/Rx (PPO) — National

H5522-808-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only Plan (PPO) · National

H5522-808-000 — Aetna Medicare Part B Only Plan (PPO) — National

H5522-809-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only Plan w/Rx (PPO) · National

H5522-809-000 — Aetna Medicare Part B Only Plan w/Rx (PPO) — National

H5522-810-000Local PPO

Aetna Medicare

Aetna Medicare $100 Buy-Down Plan (PPO) · National

H5522-810-000 — Aetna Medicare $100 Buy-Down Plan (PPO) — National

H5522-811-000Local PPO

Aetna Medicare

Aetna Medicare $100 Buy-Down Plan w/Rx (PPO) · National

H5522-811-000 — Aetna Medicare $100 Buy-Down Plan w/Rx (PPO) — National

H5522-813-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only $100 Buy-Down Plan (PPO) · National

H5522-813-000 — Aetna Medicare Part B Only $100 Buy-Down Plan (PPO) — National

H5522-814-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only $100 Buy-Down Plan w/Rx (PPO) · National

H5522-814-000 — Aetna Medicare Part B Only $100 Buy-Down Plan w/Rx (PPO) — National

H5522-815-000Local PPO

Aetna Medicare

Aetna Medicare $75 Buy-Down Plan (PPO) · National

H5522-815-000 — Aetna Medicare $75 Buy-Down Plan (PPO) — National

H5522-816-000Local PPO

Aetna Medicare

Aetna Medicare $75 Buy-Down Plan w/Rx (PPO) · National

H5522-816-000 — Aetna Medicare $75 Buy-Down Plan w/Rx (PPO) — National

H5522-817-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only $75 Buy-Down Plan (PPO) · National

H5522-817-000 — Aetna Medicare Part B Only $75 Buy-Down Plan (PPO) — National

H5522-818-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only $75 Buy-Down Plan w/Rx (PPO) · National

H5522-818-000 — Aetna Medicare Part B Only $75 Buy-Down Plan w/Rx (PPO) — National

H5522-819-000Local PPO

Aetna Medicare

Aetna Medicare Plan w/Sig+ (PPO) · National

H5522-819-000 — Aetna Medicare Plan w/Sig+ (PPO) — National

H5522-828-000Local PPO

Aetna Medicare

Aetna Medicare Plan w/Rx Flex (PPO) · National

H5522-828-000 — Aetna Medicare Plan w/Rx Flex (PPO) — National

H5522-832-000Local PPO

Aetna Medicare

Aetna Medicare Plan w/Rx CP (PPO) · National

H5522-832-000 — Aetna Medicare Plan w/Rx CP (PPO) — National

H5522-837-000Local PPO

Aetna Medicare

Aetna Medicare Plan (PPO) · National

H5522-837-000 — Aetna Medicare Plan (PPO) — National

H5522-838-000Local PPO

Aetna Medicare

Aetna Medicare Part B Only Plan (PPO) · National

H5522-838-000 — Aetna Medicare Part B Only Plan (PPO) — National

H5522-839-000Local PPO

Aetna Medicare

Aetna Medicare $75 Buy-Down Plan (PPO) · National

H5522-839-000 — Aetna Medicare $75 Buy-Down Plan (PPO) — National

H5522-840-000Local PPO

Aetna Medicare

Aetna Medicare $100 Buy-Down Plan (PPO) · National

H5522-840-000 — Aetna Medicare $100 Buy-Down Plan (PPO) — National

H5525-049-000Local PPO

Humana

HumanaChoice H5525-049 (PPO) · Select counties in North Carolina

H5525-049-000 — HumanaChoice H5525-049 (PPO) — Select counties in North Carolina

H5525-809-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-809-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-810-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-810-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-812-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-812-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-813-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-813-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-816-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-816-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-817-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-817-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-818-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-818-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-819-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-819-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-826-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-826-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-827-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-827-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-830-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-830-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5525-831-000Local PPO

Humana

Humana Medicare Employer (PPO) · Select Counties in Multi-States

H5525-831-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States

H5526-806-000Local PPO

Highmark Blue Cross Blue Shield or Highmark Blue Shield

PPO Group (MA Only) CY (PPO) · Western and Northeastern New York

H5526-806-000 — PPO Group (MA Only) CY (PPO) — Western and Northeastern New York

H5526-808-000Local PPO

Highmark Blue Cross Blue Shield or Highmark Blue Shield

PPO Group (MA-PD) CY (PPO) · Western and Northeastern New York

H5526-808-000 — PPO Group (MA-PD) CY (PPO) — Western and Northeastern New York

H5526-813-000Local PPO

Highmark Blue Cross Blue Shield or Highmark Blue Shield

PPO Group (MA-PD) ASO Calendar Year (PPO) · Western and Northeastern New York

H5526-813-000 — PPO Group (MA-PD) ASO Calendar Year (PPO) — Western and Northeastern New York

H5528-807-000Local PPO

EmblemHealth

EmblemHealth Group Access Rx (PPO) · New York

H5528-807-000 — EmblemHealth Group Access Rx (PPO) — New York

H5528-815-000Local PPO

EmblemHealth

EmblemHealth Group Access Rx Carveout (PPO) · New York

H5528-815-000 — EmblemHealth Group Access Rx Carveout (PPO) — New York

H5533-801-000Local PPO

UPMC for Life

UPMC Employer Group (PPO) · Western Pennsylvania

H5533-801-000 — UPMC Employer Group (PPO) — Western Pennsylvania

H5533-802-000Local PPO

UPMC for Life

UPMC Employer Group Rx (PPO) · Western Pennsylvania

H5533-802-000 — UPMC Employer Group Rx (PPO) — Western Pennsylvania

H5533-803-000Local PPO

UPMC for Life

UPMC Employer Group Rx (PPO) · Western Pennsylvania

H5533-803-000 — UPMC Employer Group Rx (PPO) — Western Pennsylvania

H5591-801-000HMOPOS

Martin's Point Generations Advantage

Martin's Point Generations Advantage Prime Group (HMO-POS) · National

H5591-801-000 — Martin's Point Generations Advantage Prime Group (HMO-POS) — National

H5591-802-000HMOPOS

Martin's Point Generations Advantage

Martin's Point Generations Advantage Prime Group (HMO-POS) · National

H5591-802-000 — Martin's Point Generations Advantage Prime Group (HMO-POS) — National

H5593-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Iowa

H5593-801-000 — Aetna Medicare Plan (HMO) — Iowa

H5644-801-000HMO

Network Health Medicare Advantage Plans

Network Health Employer (HMO) · Wisconsin

H5644-801-000 — Network Health Employer (HMO) — Wisconsin

H5644-802-000HMO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy (HMO) · Wisconsin

H5644-802-000 — Network Health Employer CY Pharmacy (HMO) — Wisconsin

H5644-803-000HMO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy (HMO) · Wisconsin

H5644-803-000 — Network Health Employer Pharmacy (HMO) — Wisconsin

H5644-804-000HMO

Network Health Medicare Advantage Plans

Network Health Employer 5 Giveback (HMO) · Wisconsin

H5644-804-000 — Network Health Employer 5 Giveback (HMO) — Wisconsin

H5644-805-000HMO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 5 Giveback (HMO) · Wisconsin

H5644-805-000 — Network Health Employer CY Pharmacy 5 Giveback (HMO) — Wisconsin

H5644-806-000HMO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 5 Giveback (HMO) · Wisconsin

H5644-806-000 — Network Health Employer Pharmacy 5 Giveback (HMO) — Wisconsin

H5644-807-000HMO

Network Health Medicare Advantage Plans

Network Health Employer 10 Giveback (HMO) · Wisconsin

H5644-807-000 — Network Health Employer 10 Giveback (HMO) — Wisconsin

H5644-808-000HMO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 10 Giveback (HMO) · Wisconsin

H5644-808-000 — Network Health Employer CY Pharmacy 10 Giveback (HMO) — Wisconsin

H5644-809-000HMO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 10 Giveback (HMO) · Wisconsin

H5644-809-000 — Network Health Employer Pharmacy 10 Giveback (HMO) — Wisconsin

H5644-810-000HMO

Network Health Medicare Advantage Plans

Network Health Employer 15 Giveback (HMO) · Wisconsin

H5644-810-000 — Network Health Employer 15 Giveback (HMO) — Wisconsin

H5644-811-000HMO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 15 Giveback (HMO) · Wisconsin

H5644-811-000 — Network Health Employer CY Pharmacy 15 Giveback (HMO) — Wisconsin

H5644-812-000HMO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 15 Giveback (HMO) · Wisconsin

H5644-812-000 — Network Health Employer Pharmacy 15 Giveback (HMO) — Wisconsin

H5644-813-000HMO

Network Health Medicare Advantage Plans

Network Health Employer 19 Giveback (HMO) · Wisconsin

H5644-813-000 — Network Health Employer 19 Giveback (HMO) — Wisconsin

H5644-814-000HMO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 19 Giveback (HMO) · Wisconsin

H5644-814-000 — Network Health Employer CY Pharmacy 19 Giveback (HMO) — Wisconsin

H5644-815-000HMO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 19 Giveback (HMO) · Wisconsin

H5644-815-000 — Network Health Employer Pharmacy 19 Giveback (HMO) — Wisconsin

H5644-816-000HMO

Network Health Medicare Advantage Plans

Network Health Employer 20 Giveback (HMO) · Wisconsin

H5644-816-000 — Network Health Employer 20 Giveback (HMO) — Wisconsin

H5644-817-000HMO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 20 Giveback (HMO) · Wisconsin

H5644-817-000 — Network Health Employer CY Pharmacy 20 Giveback (HMO) — Wisconsin

H5644-818-000HMO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 20 Giveback (HMO) · Wisconsin

H5644-818-000 — Network Health Employer Pharmacy 20 Giveback (HMO) — Wisconsin

H5644-819-000HMO

Network Health Medicare Advantage Plans

Network Health Employer 25 Giveback (HMO) · Wisconsin

H5644-819-000 — Network Health Employer 25 Giveback (HMO) — Wisconsin

H5644-820-000HMO

Network Health Medicare Advantage Plans

Network Health Employer CY Pharmacy 25 Giveback (HMO) · Wisconsin

H5644-820-000 — Network Health Employer CY Pharmacy 25 Giveback (HMO) — Wisconsin

H5644-821-000HMO

Network Health Medicare Advantage Plans

Network Health Employer Pharmacy 25 Giveback (HMO) · Wisconsin

H5644-821-000 — Network Health Employer Pharmacy 25 Giveback (HMO) — Wisconsin

H5793-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Connecticut

H5793-801-000 — Aetna Medicare Plan (HMO) — Connecticut

H5793-802-000HMO

Aetna Medicare

Aetna Medicare Plan w/Rx (HMO) · Connecticut

H5793-802-000 — Aetna Medicare Plan w/Rx (HMO) — Connecticut

H5793-805-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Connecticut

H5793-805-000 — Aetna Medicare Plan (HMO) — Connecticut

H5959-801-000Local PPO

Blue Cross and Blue Shield of Minnesota

Group EGWP MAPD (PPO) · National

H5959-801-000 — Group EGWP MAPD (PPO) — National

H5959-807-000Local PPO

Blue Cross and Blue Shield of Minnesota

Group EGWP Medical Only (PPO) · National

H5959-807-000 — Group EGWP Medical Only (PPO) — National

H5959-808-000Local PPO

Blue Cross and Blue Shield of Minnesota

Group EGWP MAPD (PPO) · National

H5959-808-000 — Group EGWP MAPD (PPO) — National

H5959-809-000Local PPO

Blue Cross and Blue Shield of Minnesota

Group EGWP MAPD (PPO) · National

H5959-809-000 — Group EGWP MAPD (PPO) — National

H5959-810-000Local PPO

Blue Cross and Blue Shield of Minnesota

Group EGWP MAPD (PPO) · National

H5959-810-000 — Group EGWP MAPD (PPO) — National

H6078-801-000Local PPO

Blue Medicare Advantage

Secure Preferred (PPO) · Pennsylvania National

H6078-801-000 — Secure Preferred (PPO) — Pennsylvania National

H6078-802-000Local PPO

Blue Medicare Advantage

Secure Preferred (PPO) · Pennsylvania National

H6078-802-000 — Secure Preferred (PPO) — Pennsylvania National

H6130-801-000MSA

Fenyx Health

Fenyx Health Group MSA 50 (MSA) · Fenyx Health Group MSA 50

H6130-801-000 — Fenyx Health Group MSA 50 (MSA) — Fenyx Health Group MSA 50

H6130-802-000MSA

Fenyx Health

Fenyx Health Group MSA 75 (MSA) · Fenyx Health Group MSA 75

H6130-802-000 — Fenyx Health Group MSA 75 (MSA) — Fenyx Health Group MSA 75

H6130-803-000MSA

Fenyx Health

Fenyx Health Group MSA 100 (MSA) · Fenyx Health Group MSA 100

H6130-803-000 — Fenyx Health Group MSA 100 (MSA) — Fenyx Health Group MSA 100

H6130-804-000MSA

Fenyx Health

Fenyx Health Group MSA 125 (MSA) · Fenyx Health Group MSA 125

H6130-804-000 — Fenyx Health Group MSA 125 (MSA) — Fenyx Health Group MSA 125

H6130-805-000MSA

Fenyx Health

Fenyx Health Group MSA 150 (MSA) · Fenyx Health Group MSA 150

H6130-805-000 — Fenyx Health Group MSA 150 (MSA) — Fenyx Health Group MSA 150

H6130-806-000MSA

Fenyx Health

Fenyx Health Group MSA 175 (MSA) · Fenyx Health Group MSA 175

H6130-806-000 — Fenyx Health Group MSA 175 (MSA) — Fenyx Health Group MSA 175

H6130-807-000MSA

Fenyx Health

Fenyx Health Group MSA 200 (MSA) · Fenyx Health Group MSA 200

H6130-807-000 — Fenyx Health Group MSA 200 (MSA) — Fenyx Health Group MSA 200

H6130-808-000MSA

Fenyx Health

Fenyx Health Group MSA 250 (MSA) · Fenyx Health Group MSA 250

H6130-808-000 — Fenyx Health Group MSA 250 (MSA) — Fenyx Health Group MSA 250

H6130-809-000MSA

Fenyx Health

Fenyx Health Group MSA 300 (MSA) · Fenyx Health Group MSA 300

H6130-809-000 — Fenyx Health Group MSA 300 (MSA) — Fenyx Health Group MSA 300

H6130-810-000MSA

Fenyx Health

Fenyx Health Group MSA 350 (MSA) · Fenyx Health Group MSA 350

H6130-810-000 — Fenyx Health Group MSA 350 (MSA) — Fenyx Health Group MSA 350

H6130-811-000MSA

Fenyx Health

Fenyx Health Group MSA 400 (MSA) · Fenyx Health Group MSA 400

H6130-811-000 — Fenyx Health Group MSA 400 (MSA) — Fenyx Health Group MSA 400

H6130-812-000MSA

Fenyx Health

Fenyx Health Group MSA 450 (MSA) · Fenyx Health Group MSA 450

H6130-812-000 — Fenyx Health Group MSA 450 (MSA) — Fenyx Health Group MSA 450

H6130-813-000MSA

Fenyx Health

Fenyx Health Group MSA 500 (MSA) · Fenyx Health Group MSA 500

H6130-813-000 — Fenyx Health Group MSA 500 (MSA) — Fenyx Health Group MSA 500

H6130-814-000MSA

Fenyx Health

Fenyx Health Group MSA 600 (MSA) · Fenyx Health Group MSA 600

H6130-814-000 — Fenyx Health Group MSA 600 (MSA) — Fenyx Health Group MSA 600

H6130-815-000MSA

Fenyx Health

Fenyx Health Group MSA 700 (MSA) · Fenyx Health Group MSA 700

H6130-815-000 — Fenyx Health Group MSA 700 (MSA) — Fenyx Health Group MSA 700

H6130-816-000MSA

Fenyx Health

Fenyx Health Group MSA 1000 (MSA) · Fenyx Health Group MSA 1000

H6130-816-000 — Fenyx Health Group MSA 1000 (MSA) — Fenyx Health Group MSA 1000

H6130-817-000MSA

Fenyx Health

Fenyx Health Group MSA 1500 (MSA) · Fenyx Health Group MSA 1500

H6130-817-000 — Fenyx Health Group MSA 1500 (MSA) — Fenyx Health Group MSA 1500

H6130-818-000MSA

Fenyx Health

Fenyx Health Group MSA 2000 (MSA) · Fenyx Health Group MSA 2000

H6130-818-000 — Fenyx Health Group MSA 2000 (MSA) — Fenyx Health Group MSA 2000

H6309-801-000Local PPO

HealthPartners

HealthPartners Group MAPD CY (PPO) · Nationwide

H6309-801-000 — HealthPartners Group MAPD CY (PPO) — Nationwide

H6309-802-000Local PPO

HealthPartners

HealthPartners Group MA Only (PPO) · Nationwide

H6309-802-000 — HealthPartners Group MA Only (PPO) — Nationwide

H6453-801-000HMO

Blue Cross and Blue Shield of Louisiana

Blue adVantage (HMO) · State of Louisiana

H6453-801-000 — Blue adVantage (HMO) — State of Louisiana

H6453-802-000HMO

Blue Cross and Blue Shield of Louisiana

Blue adVantage (HMO) · State of Louisiana

H6453-802-000 — Blue adVantage (HMO) — State of Louisiana

H6453-803-000HMO

Blue Cross and Blue Shield of Louisiana

Blue adVantage (HMO) · State of Louisiana

H6453-803-000 — Blue adVantage (HMO) — State of Louisiana

H6453-804-000HMOPOS

Blue Cross and Blue Shield of Louisiana

Blue adVantage (HMO-POS) · State of Louisiana

H6453-804-000 — Blue adVantage (HMO-POS) — State of Louisiana

H6723-801-000HMO

Medical Mutual of Ohio

MedMutual Advantage EGWP (Calendar Year) (HMO) · Ohio Regions

H6723-801-000 — MedMutual Advantage EGWP (Calendar Year) (HMO) — Ohio Regions

H6723-802-000HMO

Medical Mutual of Ohio

MedMutual Advantage EGWP (Non-Calendar Year) (HMO) · Ohio Regions

H6723-802-000 — MedMutual Advantage EGWP (Non-Calendar Year) (HMO) — Ohio Regions

H6723-803-000HMO

Medical Mutual of Ohio

MedMutual Advantage EGWP (MA-Only) (HMO) · Ohio Regions

H6723-803-000 — MedMutual Advantage EGWP (MA-Only) (HMO) — Ohio Regions

H7063-801-000Local PPO

Blue Cross and Blue Shield of Kansas

MAPD Group Plan Calendar Year (PPO) · Nationwide

H7063-801-000 — MAPD Group Plan Calendar Year (PPO) — Nationwide

H7063-802-000Local PPO

Blue Cross and Blue Shield of Kansas

MAPD Group Plan Calendar Year (PPO) · Nationwide

H7063-802-000 — MAPD Group Plan Calendar Year (PPO) — Nationwide

H7149-801-000HMO

Aetna Medicare

Aetna Medicare Plan (HMO) · Nebraska

H7149-801-000 — Aetna Medicare Plan (HMO) — Nebraska

H7301-803-000Local PPO

Aetna Medicare

Aetna Medicare Plan (PPO) · Illinois

H7301-803-000 — Aetna Medicare Plan (PPO) — Illinois

H7379-801-000Local PPO

CareFirst BlueCross BlueShield Medicare Advantage

CareFirst BlueCross BlueShield Group Advantage (PPO) · United States and Territories

H7379-801-000 — CareFirst BlueCross BlueShield Group Advantage (PPO) — United States and Territories

H7379-802-000Local PPO

CareFirst BlueCross BlueShield Medicare Advantage

CareFirst BlueCross BlueShield Group Advantage (PPO) · United States and Territories

H7379-802-000 — CareFirst BlueCross BlueShield Group Advantage (PPO) — United States and Territories

H7379-803-000Local PPO

CareFirst BlueCross BlueShield Medicare Advantage

CareFirst BlueCross BlueShield Group Advantage (PPO) · United States and Territories

H7379-803-000 — CareFirst BlueCross BlueShield Group Advantage (PPO) — United States and Territories

H7379-804-000Local PPO

CareFirst BlueCross BlueShield Medicare Advantage

CareFirst BlueCross BlueShield Group Advantage (PPO) · United States and Territories

H7379-804-000 — CareFirst BlueCross BlueShield Group Advantage (PPO) — United States and Territories

H7617-092-000Local PPO

Humana

HumanaChoice H7617-092 (PPO) · Select Counties in Georgia

H7617-092-000 — HumanaChoice H7617-092 (PPO) — Select Counties in Georgia

H7617-093-000Local PPO

Humana

HumanaChoice H7617-093 (PPO) · Select counties in Georgia

H7617-093-000 — HumanaChoice H7617-093 (PPO) — Select counties in Georgia

H7617-094-000Local PPO

Humana

HumanaChoice Giveback H7617-094 (PPO) · Select counties in Georgia and South Carolina

H7617-094-000 — HumanaChoice Giveback H7617-094 (PPO) — Select counties in Georgia and South Carolina

H7617-095-000Local PPO

Humana

HumanaChoice H7617-095 (PPO) · Select counties in Georgia and South Carolina

H7617-095-000 — HumanaChoice H7617-095 (PPO) — Select counties in Georgia and South Carolina

H7617-096-000Local PPO

Humana

Humana USAA Honor Giveback (PPO) · Select counties in Georgia and South Carolina

H7617-096-000 — Humana USAA Honor Giveback (PPO) — Select counties in Georgia and South Carolina

H7617-114-000Local PPO

Humana

HumanaChoice H7617-114 (PPO) · Select counties in Georgia

H7617-114-000 — HumanaChoice H7617-114 (PPO) — Select counties in Georgia

H7617-119-000Local PPO

BlueCross BlueShield of Tennessee

BlueAdvantage Plus (PPO) · 22 County Region

H7917-801-000 — BlueAdvantage Plus (PPO) — 22 County Region

H7917-802-000Local PPO

BlueCross BlueShield of Tennessee

BlueAdvantage Plus (PPO) · 22 County Region

H7917-802-000 — BlueAdvantage Plus (PPO) — 22 County Region

H7917-803-000Local PPO

BlueCross BlueShield of Tennessee

BlueAdvantage Plus (PPO) · 22 County Region

H7917-803-000 — BlueAdvantage Plus (PPO) — 22 County Region

H8003-801-000Local PPO

Blue Cross Blue Shield of South Carolina

BlueCross MAPD Calendar Year Group (PPO) · Nationwide

H8003-801-000 — BlueCross MAPD Calendar Year Group (PPO) — Nationwide

H8003-802-000Local PPO

Blue Cross Blue Shield of South Carolina

BlueCross MAPD Non-calendar Year Group (PPO) · Nationwide

H8003-802-000 — BlueCross MAPD Non-calendar Year Group (PPO) — Nationwide

H8003-803-000Local PPO

Blue Cross Blue Shield of South Carolina

BlueCross MA Only Calendar Year Group (PPO) · Nationwide

H8003-803-000 — BlueCross MA Only Calendar Year Group (PPO) — Nationwide

H8003-804-000Local PPO

Blue Cross Blue Shield of South Carolina

BlueCross MA Only Non-calendar Year Group (PPO) · Nationwide

H8003-804-000 — BlueCross MA Only Non-calendar Year Group (PPO) — Nationwide

H8093-001-000HMO

Georgia Health Advantage

Georgia Health Advantage (HMO I-SNP) · Georgia

Special Needs Plan

H8093-001-000 — Georgia Health Advantage (HMO I-SNP) — Georgia

H8093-002-000HMO

Georgia Health Advantage

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Pennsylvania Public School Employees Retirement Sy

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Blue Cross and Blue Shield of Alabama

Blue Cross and Blue Shield of Alabama

Blue Cross and Blue Shield of Alabama

Blue Cross and Blue Shield of Alabama

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Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Montana

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