H2230-801-000Local PPO
Blue Cross Blue Shield of Massachusetts
Medicare PPO Blue (PPO) · National Network
Employer/retiree group
H2230-801-000 — Medicare PPO Blue (PPO) — National Network → H2230-809-000Local PPO
Blue Cross Blue Shield of Massachusetts
Medicare PPO Blue (PPO) · National Network
Employer/retiree group
H2230-809-000 — Medicare PPO Blue (PPO) — National Network → H2230-813-000Local PPO
Blue Cross Blue Shield of Massachusetts
Medicare PPO Blue (PPO) · National Network
Employer/retiree group
H2230-813-000 — Medicare PPO Blue (PPO) — National Network → H2320-802-000HMOPOS
Priority Health Medicare
PriorityMedicare EG Non-Calendar Year (HMO-POS) · National
Employer/retiree group
H2320-802-000 — PriorityMedicare EG Non-Calendar Year (HMO-POS) — National → H2320-803-000HMOPOS
Priority Health Medicare
PriorityMedicare EG Calendar Year (HMO-POS) · National
Employer/retiree group
H2320-803-000 — PriorityMedicare EG Calendar Year (HMO-POS) — National → H2320-812-000HMOPOS
Priority Health Medicare
PriorityMedicare HMO-POS No RX EGWP Calendar (HMO-POS) · National
Employer/retiree group
H2320-812-000 — PriorityMedicare HMO-POS No RX EGWP Calendar (HMO-POS) — National → H2320-813-000HMOPOS
Priority Health Medicare
PriorityMedicare HMO-POS No RX EGWP Non-Calendar (HMO-POS) · National
Employer/retiree group
H2320-813-000 — PriorityMedicare HMO-POS No RX EGWP Non-Calendar (HMO-POS) — National → H2322-801-000Local PPO
Health Alliance Plan by Henry Ford Health
Health Alliance Plan Medicare Group MA (PPO) · United States EG Area
Employer/retiree group
H2322-801-000 — Health Alliance Plan Medicare Group MA (PPO) — United States EG Area → H2322-803-000Local PPO
Health Alliance Plan by Henry Ford Health
Health Alliance Plan Medicare Group MAPD (PPO) · United States EG Area
Employer/retiree group
H2322-803-000 — Health Alliance Plan Medicare Group MAPD (PPO) — United States EG Area → H2354-801-000HMO
Health Alliance Plan by Henry Ford Health
Health Alliance Plan Medicare Group MA (HMO) · United States EG Area
Employer/retiree group
H2354-801-000 — Health Alliance Plan Medicare Group MA (HMO) — United States EG Area → H2354-802-000HMO
Health Alliance Plan by Henry Ford Health
Health Alliance Plan Medicare Group MAPD (HMO) · United States EG Area
Employer/retiree group
H2354-802-000 — Health Alliance Plan Medicare Group MAPD (HMO) — United States EG Area → H2354-806-000HMOPOS
Health Alliance Plan by Henry Ford Health
Health Alliance Plan Medicare Group MA POS (HMO-POS) · United States EG Area
Employer/retiree group
H2354-806-000 — Health Alliance Plan Medicare Group MA POS (HMO-POS) — United States EG Area → H2354-807-000HMOPOS
Health Alliance Plan by Henry Ford Health
Health Alliance Plan Medicare Group MAPD POS (HMO-POS) · United States EG Area
Employer/retiree group
H2354-807-000 — Health Alliance Plan Medicare Group MAPD POS (HMO-POS) — United States EG Area → H2491-010-000HMOPOS
Wellcare
Wellcare Assist (HMO-POS) · Select counties in LA
H2491-010-000 — Wellcare Assist (HMO-POS) — Select counties in LA → H2491-017-000HMOPOS
Wellcare
Wellcare Simple (HMO-POS) · Select counties in LA
H2491-017-000 — Wellcare Simple (HMO-POS) — Select counties in LA → H2491-025-000HMOPOS
Wellcare
Wellcare Louisiana Connections Dual Reserve (HMO-POS D-SNP) · Select Counties in LA
Special Needs Plan
H2491-025-000 — Wellcare Louisiana Connections Dual Reserve (HMO-POS D-SNP) — Select Counties in LA → H2491-028-000HMOPOS
Wellcare
Wellcare Simple (HMO-POS) · Select counties in LA
H2491-028-000 — Wellcare Simple (HMO-POS) — Select counties in LA → H2491-030-000HMOPOS
Wellcare
Wellcare Patriot Giveback (HMO-POS) · Select Counties in LA
H2491-030-000 — Wellcare Patriot Giveback (HMO-POS) — Select Counties in LA → H2491-031-000HMOPOS
Wellcare
Wellcare Giveback (HMO-POS) · Select Counties in LA
H2491-031-000 — Wellcare Giveback (HMO-POS) — Select Counties in LA → H2491-034-000HMOPOS
Wellcare
Wellcare Simple (HMO-POS) · Select counties in LA
H2491-034-000 — Wellcare Simple (HMO-POS) — Select counties in LA → H2491-035-000HMOPOS
Wellcare
Wellcare Louisiana Connections Dual Liberty (HMO-POS D-SNP) · Select Counties in LA
Special Needs Plan
H2491-035-000 — Wellcare Louisiana Connections Dual Liberty (HMO-POS D-SNP) — Select Counties in LA → H2491-036-000HMOPOS
Wellcare
Wellcare Louisiana Connections Dual Liberty (HMO-POS D-SNP) · Select Counties in LA
Special Needs Plan
H2491-036-000 — Wellcare Louisiana Connections Dual Liberty (HMO-POS D-SNP) — Select Counties in LA → H2491-037-000HMOPOS
Wellcare
Wellcare Louisiana Connections Dual Access (HMO-POS D-SNP) · Select Counties in LA
Special Needs Plan
H2491-037-000 — Wellcare Louisiana Connections Dual Access (HMO-POS D-SNP) — Select Counties in LA → H2491-038-000HMOPOS
Wellcare
Wellcare Louisiana Connections Dual Access (HMO-POS D-SNP) · Select Counties in LA
Special Needs Plan
H2491-038-000 — Wellcare Louisiana Connections Dual Access (HMO-POS D-SNP) — Select Counties in LA → H2564-001-000HMO
AmeriHealth Caritas VIP Care (HMO-SNP)
AmeriHealth Caritas VIP Care (HMO D-SNP) · Select Louisiana parishes
Special Needs Plan
H2564-001-000 — AmeriHealth Caritas VIP Care (HMO D-SNP) — Select Louisiana parishes → H2663-805-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Arkansas, Kansas, Missouri, Illinois, Oklahoma
Employer/retiree group
H2663-805-000 — Aetna Medicare Plan (HMO) — Arkansas, Kansas, Missouri, Illinois, Oklahoma → H2737-801-000Local PPO
Health New England Medicare Advantage Plans
Health New England Compass Group Rx (PPO) · United States
Employer/retiree group
H2737-801-000 — Health New England Compass Group Rx (PPO) — United States → H2737-802-000Local PPO
Health New England Medicare Advantage Plans
Health New England Compass Group Calendar (PPO) · United States
Employer/retiree group
H2737-802-000 — Health New England Compass Group Calendar (PPO) — United States → H2737-803-000Local PPO
Health New England Medicare Advantage Plans
Health New England Compass Group Non-Calendar (PPO) · United States
Employer/retiree group
H2737-803-000 — Health New England Compass Group Non-Calendar (PPO) — United States → H3146-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · North Carolina
Employer/retiree group
H3146-801-000 — Aetna Medicare Plan (HMO) — North Carolina → H3152-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · New Jersey
Employer/retiree group
H3152-801-000 — Aetna Medicare Plan (HMO) — New Jersey → H3152-804-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · New Jersey
Employer/retiree group
H3152-804-000 — Aetna Medicare Plan w/Rx (HMO) — New Jersey → H3152-807-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · New Jersey
Employer/retiree group
H3152-807-000 — Aetna Medicare Plan (HMO) — New Jersey → H3192-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Illinois and Michigan
Employer/retiree group
H3192-801-000 — Aetna Medicare Plan (HMO) — Illinois and Michigan → H3219-801-000Local PPO
Allina Health Aetna Medicare
Allina Health Aetna Medicare Plan (PPO) · Minnesota
Employer/retiree group
H3219-801-000 — Allina Health Aetna Medicare Plan (PPO) — Minnesota → H3239-001-000HMO
Aetna Medicare
Aetna Medicare QMB Only Care (HMO D-SNP) · Select LA Parishes
Special Needs Plan
H3239-001-000 — Aetna Medicare QMB Only Care (HMO D-SNP) — Select LA Parishes → H3239-022-000HMO
Aetna Medicare
Aetna Medicare Signature Care (HMO) · Select HVP Parishes in LA
H3239-022-000 — Aetna Medicare Signature Care (HMO) — Select HVP Parishes in LA → H3239-023-000HMO
Aetna Medicare
Aetna Medicare Partial Dual Care (HMO D-SNP) · Select LA Parishes
Special Needs Plan
H3239-023-000 — Aetna Medicare Partial Dual Care (HMO D-SNP) — Select LA Parishes → H3239-027-000HMO
Aetna Medicare
Aetna Medicare Full Dual Care (HMO D-SNP) · LA - Statewide
Special Needs Plan
H3239-027-000 — Aetna Medicare Full Dual Care (HMO D-SNP) — LA - Statewide → H3239-030-000HMO
Aetna Medicare
Aetna Medicare Chronic Care (HMO C-SNP) · Jefferson and Orleans Parishes
Special Needs Plan
H3239-030-000 — Aetna Medicare Chronic Care (HMO C-SNP) — Jefferson and Orleans Parishes → H3256-801-000Local PPO
UnitedHealthcare
UnitedHealthcare Group Medicare Advantage (PPO) · Nationwide
Employer/retiree group
H3256-801-000 — UnitedHealthcare Group Medicare Advantage (PPO) — Nationwide → H3256-802-000Local PPO
UnitedHealthcare
UnitedHealthcare Group Medicare Advantage (PPO) · Nationwide
Employer/retiree group
H3256-802-000 — UnitedHealthcare Group Medicare Advantage (PPO) — Nationwide → H3288-801-000Local PPO
Aetna Medicare
Aetna Medicare Plan (PPO) · Multi-State
Employer/retiree group
H3288-801-000 — Aetna Medicare Plan (PPO) — Multi-State → H3312-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · New York
Employer/retiree group
H3312-801-000 — Aetna Medicare Plan (HMO) — New York → 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 → H3907-801-000HMO
UPMC for Life
UPMC Employer Group (HMO) · Western Pennsylvania
Employer/retiree group
H3907-801-000 — UPMC Employer Group (HMO) — Western Pennsylvania →