H3312-804-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · New York
Employer/retiree group
H3312-804-000 — Aetna Medicare Plan w/Rx (HMO) — New York → H3312-807-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · New York
Employer/retiree group
H3312-807-000 — Aetna Medicare Plan (HMO) — New York → H3330-814-000HMO
EmblemHealth
EmblemHealth VIP Premier (HMO) · New York
Employer/retiree group
H3330-814-000 — EmblemHealth VIP Premier (HMO) — New York → H3330-815-000HMO
EmblemHealth
EmblemHealth VIP Rx Carveout (HMO) · New York
Employer/retiree group
H3330-815-000 — EmblemHealth VIP Rx Carveout (HMO) — New York → H3330-820-000HMOPOS
EmblemHealth
EmblemHealth VIP Choice (HMO-POS) · New York
Employer/retiree group
H3330-820-000 — EmblemHealth VIP Choice (HMO-POS) — New York → H3330-821-000HMOPOS
EmblemHealth
EmblemHealth VIP Choice Rx Carveout (HMO-POS) · New York
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
H3359-808-000 — Healthfirst Employer Group 1 (HMO) — United States → H3359-809-000HMO
Healthfirst Medicare Plan
Healthfirst Employer Group 2 (HMO) · United States
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
H3557-803-000 — HealthMate Coast-to-Coast for Medicare Group (PPO) — RI, Nationwide → H3597-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Maine
Employer/retiree group
H3597-801-000 — Aetna Medicare Plan (HMO) — Maine → H3597-802-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Maine
Employer/retiree group
H3597-802-000 — Aetna Medicare Plan w/Rx (HMO) — Maine → H3597-804-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Maine
Employer/retiree group
H3597-804-000 — Aetna Medicare Plan (HMO) — Maine → H3642-801-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
H3664-802-000 — PrimeTime Health Plan Employer Group HMO MA-Only (HMO-POS) — National Service Area → H3664-803-000HMOPOS
PrimeTime Health Plan
PrimeTime Health Plan Employer Group - Non CY (HMO-POS) · National Service Area
Employer/retiree group
H3664-803-000 — PrimeTime Health Plan Employer Group - Non CY (HMO-POS) — National Service Area → H3664-805-000HMOPOS
PrimeTime Health Plan
Part B Only MA-PD (HMO-POS) · Part B Only MA-PD National Service Area
Employer/retiree group
H3664-805-000 — Part B Only MA-PD (HMO-POS) — Part B Only MA-PD National Service Area → H3664-806-000HMOPOS
PrimeTime Health Plan
Part B Only MA (HMO-POS) · Part B Only MA National Service Area
Employer/retiree group
H3664-806-000 — Part B Only MA (HMO-POS) — Part B Only MA National Service Area → H3664-807-000HMOPOS
PrimeTime Health Plan
PrimeTime Health Plan Employer Group HMO - CY (HMO-POS) · National Service Area
Employer/retiree group
H3664-807-000 — PrimeTime Health Plan Employer Group HMO - CY (HMO-POS) — National Service Area → H3672-805-000HMO
The Health Plan
The Health Plan SecureCare - Employer (HMO) · East Ohio and West Virginia, National
Employer/retiree group
H3672-805-000 — The Health Plan SecureCare - Employer (HMO) — East Ohio and West Virginia, National → H3748-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Washington
Employer/retiree group
H3748-801-000 — Aetna Medicare Plan (HMO) — Washington → H3817-801-000Local PPO
Regence BlueCross BlueShield of Oregon
Regence MedAdvantage (PPO) · Nationwide except territories
Employer/retiree group
H3817-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories → H3817-802-000Local PPO
Regence BlueCross BlueShield of Oregon
Regence MedAdvantage + Rx (PPO) · Nationwide except territories
Employer/retiree group
H3817-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories → H3832-801-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage EGWP with Drug CY (PPO) · National
Employer/retiree group
H3832-801-000 — HMSA Akamai Advantage EGWP with Drug CY (PPO) — National → H3832-802-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage EGWP with Drug NCY (PPO) · National
Employer/retiree group
H3832-802-000 — HMSA Akamai Advantage EGWP with Drug NCY (PPO) — National → H3832-805-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage EGWP CY (PPO) · National
Employer/retiree group
H3832-805-000 — HMSA Akamai Advantage EGWP CY (PPO) — National → H3832-807-000Local PPO
HMSA Akamai Advantage
HMSA Akamai Advantage Union Group Plan MAPD (PPO) · National
Employer/retiree group
H3832-807-000 — HMSA Akamai Advantage Union Group Plan MAPD (PPO) — National → H3864-049-000HMOPOS
PacificSource Medicare
PacificSource Medicare River Select Rx (HMO-POS) · Select Idaho Counties
H3864-049-000 — PacificSource Medicare River Select Rx (HMO-POS) — Select Idaho Counties → H3864-050-000HMOPOS
PacificSource Medicare
PacificSource Medicare Idaho Basic (HMO-POS) · Select Idaho Counties
H3864-050-000 — PacificSource Medicare Idaho Basic (HMO-POS) — Select Idaho Counties → H3864-801-000HMO
PacificSource Medicare
PacificSource Medicare Essentials 801 (HMO) · Statewide - Idaho, and Oregon
Employer/retiree group
H3864-801-000 — PacificSource Medicare Essentials 801 (HMO) — Statewide - Idaho, and Oregon → H3864-803-000HMO
PacificSource Medicare
PacificSource Medicare Essentials Rx 803 (HMO) · Statewide - Idaho and Oregon
Employer/retiree group
H3864-803-000 — PacificSource Medicare Essentials Rx 803 (HMO) — Statewide - Idaho and Oregon → H3864-805-000HMOPOS
PacificSource Medicare
PacificSource Medicare Essentials 805 (HMO-POS) · Statewide - Idaho and Oregon
Employer/retiree group
H3864-805-000 — PacificSource Medicare Essentials 805 (HMO-POS) — Statewide - Idaho and Oregon → H3864-806-000HMOPOS
PacificSource Medicare
PacificSource Medicare Essentials Rx 806 (HMO-POS) · Statewide - Idaho, and Oregon
Employer/retiree group
H3864-806-000 — PacificSource Medicare Essentials Rx 806 (HMO-POS) — Statewide - Idaho, and Oregon → H3907-801-000HMO
UPMC for Life
UPMC Employer Group (HMO) · Western Pennsylvania
Employer/retiree group
H3907-801-000 — UPMC Employer Group (HMO) — Western Pennsylvania → H3907-802-000HMO
UPMC for Life
UPMC Employer Group Rx (HMO) · Western Pennsylvania
Employer/retiree group
H3907-802-000 — UPMC Employer Group Rx (HMO) — Western Pennsylvania → H3907-803-000HMO
UPMC for Life
UPMC Employer Group Rx (HMO) · Western Pennsylvania
Employer/retiree group
H3907-803-000 — UPMC Employer Group Rx (HMO) — Western Pennsylvania → H3907-804-000HMO
UPMC for Life
UPMC PSHB Employer Group Rx (HMO) · Pennsylvania
Employer/retiree group
H3907-804-000 — UPMC PSHB Employer Group Rx (HMO) — Pennsylvania → H3909-801-000Local PPO
Independence Blue Cross
Personal Choice 65 Group Medical Only (PPO) · National
Employer/retiree group
H3909-801-000 — Personal Choice 65 Group Medical Only (PPO) — National → H3909-802-000Local PPO
Independence Blue Cross
Personal Choice 65 Group Rx (PPO) · National
Employer/retiree group
H3909-802-000 — Personal Choice 65 Group Rx (PPO) — National → H3909-803-000Local PPO
Independence Blue Cross
Personal Choice 65 Group RxG (PPO) · National
Employer/retiree group
H3909-803-000 — Personal Choice 65 Group RxG (PPO) — National → H3916-801-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MA PA CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-801-000 — Freedom Blue PPO MA PA CALENDAR (PPO) — Pennsylvania → H3916-802-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MAPD PA CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-802-000 — Freedom Blue PPO MAPD PA CALENDAR (PPO) — Pennsylvania → H3916-804-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MAPD PA Calendar Performance (PPO) · Pennsylvania
Employer/retiree group
H3916-804-000 — Freedom Blue PPO MAPD PA Calendar Performance (PPO) — Pennsylvania → H3916-805-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO MA PA Calendar (PPO) · Pennsylvania
Employer/retiree group
H3916-805-000 — Community Blue Medicare PPO MA PA Calendar (PPO) — Pennsylvania → H3916-806-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO PA MAPD Calendar (PPO) · Pennsylvania
Employer/retiree group
H3916-806-000 — Community Blue Medicare PPO PA MAPD Calendar (PPO) — Pennsylvania → H3916-807-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO MAPD Calendar Perform (PPO) · Pennsylvania
Employer/retiree group
H3916-807-000 — Community Blue Medicare PPO MAPD Calendar Perform (PPO) — Pennsylvania → H3916-808-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Freedom Blue PPO MAPD ASO CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-808-000 — Freedom Blue PPO MAPD ASO CALENDAR (PPO) — Pennsylvania → H3916-809-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare PPO ASO CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-809-000 — Community Blue Medicare PPO ASO CALENDAR (PPO) — Pennsylvania → H3916-810-000Local PPO
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Community Blue Medicare Plus PPO ASO CALENDAR (PPO) · Pennsylvania
Employer/retiree group
H3916-810-000 — Community Blue Medicare Plus PPO ASO CALENDAR (PPO) — Pennsylvania → H3923-801-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx (CY) (PPO) · National
Employer/retiree group
H3923-801-000 — Capital Blue Cross Group Rx (CY) (PPO) — National → H3923-802-000Local PPO
Capital Blue Cross
Capital Blue Cross Group No Rx (CY) (PPO) · National
Employer/retiree group
H3923-802-000 — Capital Blue Cross Group No Rx (CY) (PPO) — National → H3923-817-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Custom Rx (CY) (PPO) · National
Employer/retiree group
H3923-817-000 — Capital Blue Cross Group Custom Rx (CY) (PPO) — National → H3923-818-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx Complete (CY) (PPO) · National
Employer/retiree group
H3923-818-000 — Capital Blue Cross Group Rx Complete (CY) (PPO) — National → H3923-819-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx Standard (CY) (PPO) · National
Employer/retiree group
H3923-819-000 — Capital Blue Cross Group Rx Standard (CY) (PPO) — National → H3923-820-000Local PPO
Capital Blue Cross
Capital Blue Cross Group Rx (FY) (PPO) · National
Employer/retiree group
H3923-820-000 — Capital Blue Cross Group Rx (FY) (PPO) — National → H3923-832-000Local PPO
Capital Blue Cross
Capital Blue Cross Group No Rx (FY) (PPO) · National
Employer/retiree group
H3923-832-000 — Capital Blue Cross Group No Rx (FY) (PPO) — National → H3928-801-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Louisiana
Employer/retiree group
H3928-801-000 — Aetna Medicare Plan w/Rx (HMO) — Louisiana → H3928-803-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Louisiana
Employer/retiree group
H3928-803-000 — Aetna Medicare Plan (HMO) — Louisiana → H3928-805-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Louisiana
Employer/retiree group
H3928-805-000 — Aetna Medicare Plan (HMO) — Louisiana → H3931-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Pennsylvania
Employer/retiree group
H3931-801-000 — Aetna Medicare Plan (HMO) — Pennsylvania → H3931-804-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Pennsylvania
Employer/retiree group
H3931-804-000 — Aetna Medicare Plan w/Rx (HMO) — Pennsylvania → H3931-808-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Pennsylvania
Employer/retiree group
H3931-808-000 — Aetna Medicare Plan (HMO) — Pennsylvania → H3959-804-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Pennsylvania
Employer/retiree group
H3959-804-000 — Aetna Medicare Plan w/Rx (HMO) — Pennsylvania → H3962-801-000HMO
Capital Blue Cross
Capital Blue Cross Group Rx (CY) (HMO) · National
Employer/retiree group
H3962-801-000 — Capital Blue Cross Group Rx (CY) (HMO) — National → H3962-802-000HMO
Capital Blue Cross
Capital Blue Cross Group No Rx (CY) (HMO) · National
Employer/retiree group
H3962-802-000 — Capital Blue Cross Group No Rx (CY) (HMO) — National → H3962-813-000HMO
Capital Blue Cross
Capital Blue Cross Group Custom Rx (CY) (HMO) · National
Employer/retiree group
H3962-813-000 — Capital Blue Cross Group Custom Rx (CY) (HMO) — National → H3962-817-000HMO
Capital Blue Cross
Capital Blue Cross Group Rx (FY) (HMO) · National
Employer/retiree group
H3962-817-000 — Capital Blue Cross Group Rx (FY) (HMO) — National → H3962-828-000HMO
Capital Blue Cross
Capital Blue Cross Group No Rx (FY) (HMO) · National
Employer/retiree group
H3962-828-000 — Capital Blue Cross Group No Rx (FY) (HMO) — National → H4005-801-000Local PPO
Triple-S Advantage
Óptimo (PPO) · Puerto Rico
Employer/retiree group
H4005-801-000 — Óptimo (PPO) — Puerto Rico → H4005-802-000Local PPO
Triple-S Advantage
Óptimo Plus A (PPO) · Puerto Rico
Employer/retiree group
H4005-802-000 — Óptimo Plus A (PPO) — Puerto Rico → H4005-804-000Local PPO
Triple-S Advantage
Óptimo Plus B (PPO) · Puerto Rico
Employer/retiree group
H4005-804-000 — Óptimo Plus B (PPO) — Puerto Rico → H4032-001-000HMOPOS
UnitedHealthcare
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) · State of Idaho
Special Needs Plan
H4032-001-000 — UHC Dual Complete ID-Y1 (HMO-POS D-SNP) — State of Idaho →