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 → 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 → 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 → H5106-808-000Local PPO
Highmark Blue Cross Blue Shield
Freedom Blue PPO MAPD WV Incentive (PPO) · ALL WV COUNTIES
Employer/retiree group
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
Employer/retiree group
H5106-810-000 — Freedom Blue PPO MAPD WV ASO CALENDAR (PPO) — ALL WV COUNTIES → H5215-806-000Local PPO
Network Health Medicare Advantage Plans
Network Health Employer CY Pharmacy 19 Giveback (PPO) · Wisconsin
Employer/retiree group
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
Employer/retiree group
H5215-807-000 — Network Health Employer (PPO) — Wisconsin → H5215-808-000Local PPO
Network Health Medicare Advantage Plans
Network Health Employer CY Pharmacy (PPO) · Wisconsin
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
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
Employer/retiree group
H5215-826-000 — Network Health Employer Pharmacy 5 Giveback (PPO) — Wisconsin → H5216-059-000Local PPO
Humana
Humana USAA Honor Giveback (PPO) · ME and NH. Select Counties in CT, MA, and VT
H5216-059-000 — Humana USAA Honor Giveback (PPO) — ME and NH. Select Counties in CT, MA, and VT → H5216-138-000Local PPO
Humana
HumanaChoice Giveback H5216-138 (PPO) · ME and NH. Select Counties in CT, MA, and VT
H5216-138-000 — HumanaChoice Giveback H5216-138 (PPO) — ME and NH. Select Counties in CT, MA, and VT → H5216-475-000Local PPO
Humana
HumanaChoice H5216-475 (PPO) · Select Counties in New Hampshire
H5216-475-000 — HumanaChoice H5216-475 (PPO) — Select Counties in New Hampshire → H5216-805-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-805-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-806-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-806-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-808-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-808-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-809-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-809-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-811-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-811-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-812-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-812-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-813-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-813-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-814-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-814-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-817-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-817-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-818-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-818-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-821-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-821-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5216-824-000Local PPO
Humana
Humana Medicare Employer (PPO) · Select Counties in Multi-States
Employer/retiree group
H5216-824-000 — Humana Medicare Employer (PPO) — Select Counties in Multi-States → H5253-166-000HMOPOS
UnitedHealthcare
UHC Complete Care Support NH-2A (HMO-POS C-SNP) · Select Counties in New Hampshire
Special Needs Plan
H5253-166-000 — UHC Complete Care Support NH-2A (HMO-POS C-SNP) — Select Counties in New Hampshire → H5253-207-000HMOPOS
UnitedHealthcare
AARP Medicare Advantage from UHC NH-2 (HMO-POS) · Select Counties of New Hampshire
H5253-207-000 — AARP Medicare Advantage from UHC NH-2 (HMO-POS) — Select Counties of New Hampshire → H5253-226-000HMOPOS
UnitedHealthcare
AARP Medicare Advantage Patriot No Rx NH-MA2 (HMO-POS) · Select Counties in New Hampshire
H5253-226-000 — AARP Medicare Advantage Patriot No Rx NH-MA2 (HMO-POS) — Select Counties in New Hampshire → H5253-827-000HMO
UnitedHealthcare
UnitedHealthcare Group Medicare Advantage (HMO) · Select Counties in MA, NH, PA, RI, VT
Employer/retiree group
H5253-827-000 — UnitedHealthcare Group Medicare Advantage (HMO) — Select Counties in MA, NH, PA, RI, VT → H5253-828-000HMO
UnitedHealthcare
UnitedHealthcare Group Medicare Advantage (HMO) · Select Counties in MA, NH, PA, RI, VT
Employer/retiree group
H5253-828-000 — UnitedHealthcare Group Medicare Advantage (HMO) — Select Counties in MA, NH, PA, RI, VT → H5253-829-000HMO
UnitedHealthcare
UnitedHealthcare Group Medicare Advantage (HMO) · Select Counties in MA, NH, PA, RI, VT
Employer/retiree group
H5253-829-000 — UnitedHealthcare Group Medicare Advantage (HMO) — Select Counties in MA, NH, PA, RI, VT → H5302-809-000HMO
Aetna Medicare
Aetna Medicare Plan (HMO) · Georgia
Employer/retiree group
H5302-809-000 — Aetna Medicare Plan (HMO) — Georgia → H5434-801-000Local PPO
Florida Blue
BlueMedicare Group PPO (PPO) · State of Florida with National Coverage
Employer/retiree group
H5434-801-000 — BlueMedicare Group PPO (PPO) — State of Florida with National Coverage → H5434-802-000Local PPO
Florida Blue
BlueMedicare Group PPO (PPO) · State of Florida with National Coverage
Employer/retiree group
H5434-802-000 — BlueMedicare Group PPO (PPO) — State of Florida with National Coverage → H5434-806-000Local PPO
Florida Blue
BlueMedicare Group MA PPO (PPO) · State of Florida with National Coverage
Employer/retiree group
H5434-806-000 — BlueMedicare Group MA PPO (PPO) — State of Florida with National Coverage → H5434-807-000Local PPO
Florida Blue
BlueMedicare Group MA PPO (PPO) · State of Florida with National Coverage
Employer/retiree group
H5434-807-000 — BlueMedicare Group MA PPO (PPO) — State of Florida with National Coverage → H5521-801-000Local PPO
Aetna Medicare
Aetna Medicare Plan (PPO) · National
Employer/retiree group
H5521-801-000 — Aetna Medicare Plan (PPO) — National → H5521-805-000Local PPO
Aetna Medicare
Aetna Medicare Part B Only Plan (PPO) · National
Employer/retiree group
H5521-805-000 — Aetna Medicare Part B Only Plan (PPO) — National → H5522-802-000Local PPO
Aetna Medicare
Aetna Medicare Plan (PPO) · National
Employer/retiree group
H5522-802-000 — Aetna Medicare Plan (PPO) — National →