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) → 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 → H4407-004-000HMO
HealthSpring
HealthSpring TotalCare (HMO D-SNP) · South Mississippi
Special Needs Plan
H4407-004-000 — HealthSpring TotalCare (HMO D-SNP) — South Mississippi → H4407-011-000HMO
HealthSpring
HealthSpring Courage (HMO) · South Mississippi
H4407-011-000 — HealthSpring Courage (HMO) — South Mississippi → H4407-027-000HMO
HealthSpring
HealthSpring Preferred Plus (HMO) · South Mississippi
H4407-027-000 — HealthSpring Preferred Plus (HMO) — South Mississippi → H4407-029-000HMO
HealthSpring
HealthSpring TotalCare Plus (HMO D-SNP) · South Mississippi
Special Needs Plan
H4407-029-000 — HealthSpring TotalCare Plus (HMO D-SNP) — South Mississippi → H4407-030-001HMO
HealthSpring
HealthSpring Preferred (HMO) · South Mississippi
H4407-030-001 — HealthSpring Preferred (HMO) — Gulf Coast → H4407-030-002HMO
HealthSpring
HealthSpring Preferred (HMO) · South Mississippi
H4407-030-002 — HealthSpring Preferred (HMO) — Hattiesburg → H4407-030-003HMO
HealthSpring
HealthSpring Preferred (HMO) · South Mississippi
H4407-030-003 — HealthSpring Preferred (HMO) — Jackson → H4407-034-000HMO
HealthSpring
HealthSpring Achieve (HMO C-SNP) · Hattiesburg
Special Needs Plan
H4407-034-000 — HealthSpring Achieve (HMO C-SNP) — Hattiesburg → 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 → H4513-049-004HMO
HealthSpring
HealthSpring Preferred (HMO) · Tennessee
H4513-049-004 — HealthSpring Preferred (HMO) — Memphis → H4513-815-000HMO
HealthSpring
HealthSpring Preferred (HMO) · Statewide IL, MS, TN
Employer/retiree group
H4513-815-000 — HealthSpring Preferred (HMO) — Statewide IL, MS, TN → 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 → H4624-039-000HMO
Zing Health
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) · Shelby and DeSoto Counties
Special Needs Plan
H4624-039-000 — Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) — Shelby and DeSoto Counties → H4624-040-000HMO
Zing Health
Zing Select Diabetes & Heart TN-MS (HMO C-SNP) · Memphis-Delta, Nashville, and North & Central MS
Special Needs Plan
H4624-040-000 — Zing Select Diabetes & Heart TN-MS (HMO C-SNP) — Memphis-Delta, Nashville, and North & Central MS → H4624-042-000HMO
Zing Health
Zing Select Dialysis TN-MS (HMO C-SNP) · Memphis-Delta, Nashville, and North & Central MS
Special Needs Plan
H4624-042-000 — Zing Select Dialysis TN-MS (HMO C-SNP) — Memphis-Delta, Nashville, and North & Central MS → H4624-043-000HMO
Zing Health
Zing Elite Select TN-MS (HMO) · Shelby and DeSoto Counties
H4624-043-000 — Zing Elite Select TN-MS (HMO) — Shelby and DeSoto Counties → H4624-044-000HMO
Zing Health
Zing Select Care TN-MS (HMO) · Memphis-Delta, Nashville, and North & Central MS
H4624-044-000 — Zing Select Care TN-MS (HMO) — Memphis-Delta, Nashville, and North & Central MS → H4624-049-000HMO
Zing Health
Zing Elite Essentials Diabetes & Heart TN-MS (HMO C-SNP) · Shelby and DeSoto Counties
Special Needs Plan
H4624-049-000 — Zing Elite Essentials Diabetes & Heart TN-MS (HMO C-SNP) — Shelby and DeSoto Counties → H4711-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Colorado and Nevada
Employer/retiree group
H4711-801-000 — Aetna Medicare Plan (HMO) — Colorado and Nevada → H4835-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Arizona
Employer/retiree group
H4835-801-000 — Aetna Medicare Plan (HMO) — Arizona → H4875-803-000Local PPO
Priority Health Medicare
PriorityMedicare PPO EG Non-Calendar Year (PPO) · National
Employer/retiree group
H4875-803-000 — PriorityMedicare PPO EG Non-Calendar Year (PPO) — National → H4875-804-000Local PPO
Priority Health Medicare
PriorityMedicare PPO EG Calendar Year (PPO) · National
Employer/retiree group
H4875-804-000 — PriorityMedicare PPO EG Calendar Year (PPO) — National → H4875-805-000Local PPO
Priority Health Medicare
PriorityMedicare PPO No RX EGWP Calendar (PPO) · National
Employer/retiree group
H4875-805-000 — PriorityMedicare PPO No RX EGWP Calendar (PPO) — National → H4875-806-000Local PPO
Priority Health Medicare
PriorityMedicare PPO No RX EGWP Non-Calendar (PPO) · National
Employer/retiree group
H4875-806-000 — PriorityMedicare PPO No RX EGWP Non-Calendar (PPO) — National → H4875-807-000Local PPO
Priority Health Medicare
PriorityMedicare EG Calendar Year $50 Part B PPO (PPO) · United States and its territories
Employer/retiree group
H4875-807-000 — PriorityMedicare EG Calendar Year $50 Part B PPO (PPO) — United States and its territories → H4875-810-000Local PPO
Priority Health Medicare
PriorityMedicare EG Calendar Year $125 Buy Back (PPO) · United States and its territories
Employer/retiree group
H4875-810-000 — PriorityMedicare EG Calendar Year $125 Buy Back (PPO) — United States and its territories → H4882-801-000Local PPO
HealthPartners
HealthPartners Group MAPD CY (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-801-000 — HealthPartners Group MAPD CY (PPO) — All States Excluding Cost Counties → H4882-803-000Local PPO
HealthPartners
HealthPartners Group MA Only (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-803-000 — HealthPartners Group MA Only (PPO) — All States Excluding Cost Counties → H4882-804-000Local PPO
HealthPartners
HealthPartners Group II MAPD CY (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-804-000 — HealthPartners Group II MAPD CY (PPO) — All States Excluding Cost Counties → H4882-805-000Local PPO
HealthPartners
HealthPartners Group II MA Only (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-805-000 — HealthPartners Group II MA Only (PPO) — All States Excluding Cost Counties → H4882-806-000Local PPO
HealthPartners
HealthPartners Group III MAPD CY (PPO) · All States Excluding Cost Counties
Employer/retiree group
H4882-806-000 — HealthPartners Group III MAPD CY (PPO) — All States Excluding Cost Counties → H4909-804-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-804-000 — Anthem Medicare Preferred (PPO) — National → H4909-805-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-805-000 — Anthem Medicare Preferred (PPO) — National → H4909-810-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-810-000 — Anthem Medicare Preferred (PPO) — National → H4909-811-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-811-000 — Anthem Medicare Preferred (PPO) — National → H4909-812-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-812-000 — Anthem Medicare Preferred (PPO) — National → H4909-814-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-814-000 — Anthem Medicare Preferred (PPO) — National → H4909-815-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-815-000 — Anthem Medicare Preferred (PPO) — National → H4909-817-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-817-000 — Anthem Medicare Preferred (PPO) — National → H4909-818-000Local PPO
Anthem Blue Cross and Blue Shield
Anthem Medicare Preferred (PPO) · National
Employer/retiree group
H4909-818-000 — Anthem Medicare Preferred (PPO) — National → H4937-801-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-801-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-802-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-802-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-803-000Local PPO
Blue Shield of California
Blue Shield Medicare without Rx (PPO) · GMA-only PPO
Employer/retiree group
H4937-803-000 — Blue Shield Medicare without Rx (PPO) — GMA-only PPO → H4937-804-000Local PPO
Blue Shield of California
Blue Shield Medicare without Rx (PPO) · GMA-only PPO
Employer/retiree group
H4937-804-000 — Blue Shield Medicare without Rx (PPO) — GMA-only PPO → H4937-805-000Local PPO
Blue Shield of California
CCPOA Medical Plan Medicare (PPO) · GMAPD PPO for CCPOA Only
Employer/retiree group
H4937-805-000 — CCPOA Medical Plan Medicare (PPO) — GMAPD PPO for CCPOA Only → H4937-806-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO Part B Only
Employer/retiree group
H4937-806-000 — Blue Shield Medicare (PPO) — GMAPD PPO Part B Only → H4937-807-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO Part B Only
Employer/retiree group
H4937-807-000 — Blue Shield Medicare (PPO) — GMAPD PPO Part B Only → H4937-808-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-808-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-809-000Local PPO
Blue Shield of California
Blue Shield Medicare (PPO) · GMAPD PPO
Employer/retiree group
H4937-809-000 — Blue Shield Medicare (PPO) — GMAPD PPO → H4937-810-000Local PPO
Blue Shield of California
CCPOA Medical Plan Medicare (PPO) · GMA-only PPO for CCPOA Only
Employer/retiree group
H4937-810-000 — CCPOA Medical Plan Medicare (PPO) — GMA-only PPO for CCPOA Only → H4961-801-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-801-000 — Alignment Health Plan Retiree Options (PPO) — National → H4961-802-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-802-000 — Alignment Health Plan Retiree Options (PPO) — National → H4961-803-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-803-000 — Alignment Health Plan Retiree Options (PPO) — National → H4961-804-000Local PPO
Alignment Health Plan
Alignment Health Plan Retiree Options (PPO) · National
Employer/retiree group
H4961-804-000 — Alignment Health Plan Retiree Options (PPO) — National → H4982-801-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · California
Employer/retiree group
H4982-801-000 — Aetna Medicare Plan (HMO) — California → H5008-011-000HMOPOS
UnitedHealthcare
UHC Dual Complete MS-Q2 (HMO-POS D-SNP) · Select Counties in Mississippi
Special Needs Plan
H5008-011-000 — UHC Dual Complete MS-Q2 (HMO-POS D-SNP) — Select Counties in Mississippi → H5008-016-000HMOPOS
UnitedHealthcare
UHC Dual Advantage MS-V1 (HMO-POS D-SNP) · Select Counties in Mississippi
Special Needs Plan
H5008-016-000 — UHC Dual Advantage MS-V1 (HMO-POS D-SNP) — Select Counties in Mississippi → H5008-017-000HMOPOS
UnitedHealthcare
UHC Dual Complete MS-S4 (HMO-POS D-SNP) · Select Counties in Mississippi
Special Needs Plan
H5008-017-000 — UHC Dual Complete MS-S4 (HMO-POS D-SNP) — Select Counties in Mississippi → H5009-801-000Local PPO
Regence BlueShield
Regence MedAdvantage (PPO) · Nationwide except territories
Employer/retiree group
H5009-801-000 — Regence MedAdvantage (PPO) — Nationwide except territories → H5009-802-000Local PPO
Regence BlueShield
Regence MedAdvantage + Rx (PPO) · Nationwide except territories
Employer/retiree group
H5009-802-000 — Regence MedAdvantage + Rx (PPO) — Nationwide except territories → H5042-807-000Local PPO
CDPHP Medicare Advantage
Medicare Blue PPO Group (PPO) · National and Puerto Rico
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
H5106-807-000 — Freedom Blue PPO MA WV Calendar (PPO) — ALL WV COUNTIES →