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 → H4003-806-000HMOPOS
Medicare y Mucho Mas (MMM)
MMM Group A Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
H4004-826-000 — PMC Group E Calendar (HMO-POS) — Puerto Rico → H4004-827-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group E Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-827-000 — PMC Group E Non-Calendar (HMO-POS) — Puerto Rico → H4004-828-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group F Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-828-000 — PMC Group F Calendar (HMO-POS) — Puerto Rico → H4004-829-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group F Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-829-000 — PMC Group F Non-Calendar (HMO-POS) — Puerto Rico → H4004-830-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group G Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-830-000 — PMC Group G Calendar (HMO-POS) — Puerto Rico → H4004-831-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group G Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-831-000 — PMC Group G Non-Calendar (HMO-POS) — Puerto Rico → H4004-832-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group H Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-832-000 — PMC Group H Calendar (HMO-POS) — Puerto Rico → H4004-833-000HMOPOS
Medicare y Mucho Mas (MMM)
PMC Group H Non-Calendar (HMO-POS) · Puerto Rico
Employer/retiree group
H4004-833-000 — PMC Group H Non-Calendar (HMO-POS) — Puerto Rico → H4005-801-000Local PPO
Triple-S Advantage
Óptimo (PPO) · Puerto Rico
Employer/retiree group
H4005-801-000 — Óptimo (PPO) — Puerto Rico → H4005-802-000Local PPO
Triple-S Advantage
Óptimo Plus A (PPO) · Puerto Rico
Employer/retiree group
H4005-802-000 — Óptimo Plus A (PPO) — Puerto Rico → H4005-804-000Local PPO
Triple-S Advantage
Óptimo Plus B (PPO) · Puerto Rico
Employer/retiree group
H4005-804-000 — Óptimo Plus B (PPO) — Puerto Rico → H4036-801-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-801-000 — Anthem Medicare Preferred (PPO) — National → H4036-802-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-802-000 — Anthem Medicare Preferred (PPO) — National → H4036-805-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-805-000 — Anthem Medicare Preferred (PPO) — National → H4036-806-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-806-000 — Anthem Medicare Preferred (PPO) — National → H4036-807-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-807-000 — Anthem Medicare Preferred (PPO) — National → H4036-809-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-809-000 — Anthem Medicare Preferred (PPO) — National → H4036-810-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-810-000 — Anthem Medicare Preferred (PPO) — National → H4036-812-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-812-000 — Anthem Medicare Preferred (PPO) — National → H4036-813-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-813-000 — Anthem Medicare Preferred (PPO) — National → H4036-814-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-814-000 — Anthem Medicare Preferred (PPO) — National → H4036-819-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-819-000 — Anthem Medicare Preferred (PPO) — National → H4036-820-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-820-000 — Anthem Medicare Preferred (PPO) — National → H4036-821-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-821-000 — Anthem Medicare Preferred (PPO) — National → H4036-822-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4036-822-000 — Anthem Medicare Preferred (PPO) — National → H4036-823-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-823-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-824-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-824-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-825-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-825-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-826-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MA)
Employer/retiree group
H4036-826-000 — Anthem Medicare Preferred (PPO) — National (MA) → H4036-827-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-827-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4036-828-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-828-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4036-829-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-829-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4036-830-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National (MD)
Employer/retiree group
H4036-830-000 — Anthem Medicare Preferred (PPO) — National (MD) → H4152-815-000HMOPOS
Blue Cross & Blue Shield of Rhode Island
BlueCHiP for Medicare Group Preferred (HMO-POS) · RI, Bristol Cty MA, Partial New London Cty CT
Employer/retiree group
H4152-815-000 — BlueCHiP for Medicare Group Preferred (HMO-POS) — RI, Bristol Cty MA, Partial New London Cty CT → H4152-817-000HMO
Blue Cross & Blue Shield of Rhode Island
BlueCHiP for Medicare Group Plus (HMO) · RI, Bristol Cty MA, Partial New London Cty CT
Employer/retiree group
H4152-817-000 — BlueCHiP for Medicare Group Plus (HMO) — RI, Bristol Cty MA, Partial New London Cty CT → H4213-801-000PFFS
Arkansas Blue Medicare
BlueMedicare Preferred Group CY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-801-000 — BlueMedicare Preferred Group CY (PFFS) — Employer Group Plan → H4213-802-000PFFS
Arkansas Blue Medicare
BlueMedicare Preferred Group NCY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-802-000 — BlueMedicare Preferred Group NCY (PFFS) — Employer Group Plan → H4213-803-000PFFS
Arkansas Blue Medicare
BlueMedicare Value Group CY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-803-000 — BlueMedicare Value Group CY (PFFS) — Employer Group Plan → H4213-804-000PFFS
Arkansas Blue Medicare
BlueMedicare Value Group NCY (PFFS) · Employer Group Plan
Employer/retiree group
H4213-804-000 — BlueMedicare Value Group NCY (PFFS) — Employer Group Plan → H4371-001-000HMO
Molina Healthcare of Massachusetts
Molina One Care (HMO D-SNP) · Brstl, Essx, Hdn, Ham, Mdsx, Nrflk, Plth, Sfk, Wor
Special Needs Plan
H4371-001-000 — Molina One Care (HMO D-SNP) — Brstl, Essx, Hdn, Ham, Mdsx, Nrflk, Plth, Sfk, Wor → H4497-801-000Local PPO
Medical Mutual of Ohio
MedMutual Advantage EGWP (Calendar Year) (PPO) · Ohio Regions
Employer/retiree group
H4497-801-000 — MedMutual Advantage EGWP (Calendar Year) (PPO) — Ohio Regions → H4497-802-000Local PPO
Medical Mutual of Ohio
MedMutual Advantage EGWP (Non-Calendar Year) (PPO) · Ohio Regions
Employer/retiree group
H4497-802-000 — MedMutual Advantage EGWP (Non-Calendar Year) (PPO) — Ohio Regions → H4497-803-000Local PPO
Medical Mutual of Ohio
MedMutual Advantage EGWP (MA-Only) (PPO) · Ohio Regions
Employer/retiree group
H4497-803-000 — MedMutual Advantage EGWP (MA-Only) (PPO) — Ohio Regions → H4513-821-000HMO
HealthSpring
HealthSpring Preferred (HMO) · Nationwide
Employer/retiree group
H4513-821-000 — HealthSpring Preferred (HMO) — Nationwide → H4523-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Texas
Employer/retiree group
H4523-801-000 — Aetna Medicare Plan (HMO) — Texas → H4523-802-000HMO
Aetna Medicare
Aetna Medicare Plan w/Rx (HMO) · Texas
Employer/retiree group
H4523-802-000 — Aetna Medicare Plan w/Rx (HMO) — Texas → H4523-805-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Texas
Employer/retiree group
H4523-805-000 — Aetna Medicare Plan (HMO) — Texas → H4605-801-000Local PPO
Regence BlueCross BlueShield of Utah
Regence MedAdvantage (PPO) · Nationwide except territories
Employer/retiree group
H4605-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories → H4605-802-000Local PPO
Regence BlueCross BlueShield of Utah
Regence MedAdvantage + Rx (PPO) · Nationwide except territories
Employer/retiree group
H4605-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories → H4610-001-000HMO
UnitedHealthcare
UHC One Care MA-Y3 (HMO D-SNP) · Select Counties of Massachusetts
Special Needs Plan
H4610-001-000 — UHC One Care MA-Y3 (HMO D-SNP) — Select Counties of Massachusetts → H4610-002-000HMO
UnitedHealthcare
UHC One Care MA-YL (HMO D-SNP) · Select Counties of Massachusetts
Special Needs Plan
H4610-002-000 — UHC One Care MA-YL (HMO D-SNP) — Select Counties of Massachusetts → H4711-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Colorado and Nevada
Employer/retiree group
H4711-801-000 — Aetna Medicare Plan (HMO) — Colorado and Nevada → H4835-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Arizona
Employer/retiree group
H4835-801-000 — Aetna Medicare Plan (HMO) — Arizona → H4875-803-000Local PPO
Priority Health Medicare
PriorityMedicare PPO EG Non-Calendar Year (PPO) · National
Employer/retiree group
H4875-803-000 — PriorityMedicare PPO EG Non-Calendar Year (PPO) — National →