| Organization Name |
Plan Name |
Contract ID |
Plan ID |
Segment ID |
| AARP MedicareComplete from SecureHorizons |
AARP MedicareComplete |
H0609 |
011 |
0 |
| AARP MedicareComplete from SecureHorizons |
AARP MedicareComplete |
H0609 |
013 |
0 |
| AARP MedicareComplete from SecureHorizons |
AARP MedicareComplete Essential |
H3805 |
011 |
0 |
| Advantage Plan from Medical Mutual of Ohio |
Advantage Plan Freedom |
H4836 |
001 |
0 |
| Advantage Plan from Medical Mutual of Ohio |
Advantage Plan Freedomx |
H4836 |
002 |
0 |
| Advantage Plans from Medical Mutual of Ohio |
Advantage Plan Premiumx |
H9313 |
011 |
1 |
| Advantage Plans from Medical Mutual of Ohio |
Advantage Plan Premiumx |
H9313 |
011 |
2 |
| Advantage Plans from Medical Mutual of Ohio |
Advantage Plan Secure |
H9313 |
008 |
0 |
| Advantage Plans from Medical Mutual of Ohio |
Advantage Plan Standardx |
H9313 |
010 |
1 |
| Advantage Plans from Medical Mutual of Ohio |
Advantage Plan Standardx |
H9313 |
010 |
2 |
| Advantage Plans from Medical Mutual of Ohio |
Advantage Plan Value |
H9313 |
009 |
0 |
| AdvantageCare |
AdvantageCare Essential |
H5426 |
007 |
0 |
| Advantra |
Advantra Gold |
H2947 |
002 |
0 |
| Advantra |
Advantra PPO Gold |
H8980 |
001 |
0 |
| Advantra |
Advantra Silver |
H2947 |
001 |
0 |
| Advantra PPO |
Advantra PPO Diamond |
H5522 |
006 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 1 |
H0846 |
004 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 1B |
H0846 |
017 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 2 |
H0846 |
005 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 2 |
H0846 |
009 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 2 |
H0846 |
010 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 3 |
H0846 |
006 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 3 |
H0846 |
013 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 3 |
H0846 |
016 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 4 |
H5952 |
001 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 5 |
H5227 |
001 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 5 |
H5227 |
002 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 5 |
H0846 |
015 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 5 Plus-GAP |
H5227 |
004 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 5 Plus-OTC |
H5227 |
005 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 6 |
H0846 |
012 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 7 |
H0846 |
014 |
0 |
| Advantra® Freedom |
Advantra Freedom-Freedom 8 |
H0846 |
018 |
0 |
| Advantra® Savings |
Advantra Savings-Plan 1 |
H7206 |
001 |
0 |
| Advantra® Savings |
Advantra Savings-Plan 2 |
H7206 |
002 |
0 |
| Advantra® Savings |
Advantra Savings-Plan 3 |
H7206 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H4524 |
012 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5531 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H0322 |
006 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H4362 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H2047 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H9663 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5437 |
005 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H1420 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5510 |
006 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5531 |
006 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H0768 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5437 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5437 |
007 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5531 |
010 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5512 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5531 |
008 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H0902 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5521 |
009 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H4911 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5510 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5512 |
009 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5521 |
006 |
0 |
| Aetna Medicare |
Aetna Golden Choice Premier Plan |
H5531 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Regional Standard Plan |
R5595 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Regional Premier Plan |
R5595 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Choice Regional Premier Plan |
R5595 |
007 |
0 |
| Aetna Medicare |
Aetna Golden Choice Regional Standard Plan |
R5595 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Choice Regional Value Plan |
R5595 |
005 |
0 |
| Aetna Medicare |
Aetna Golden Choice Select Plan |
H4362 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Select Plan |
H0322 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H1420 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5531 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5144 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H3624 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H2047 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H9663 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H3624 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5437 |
006 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5437 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5531 |
005 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H0768 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5512 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5437 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5531 |
007 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5531 |
009 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5510 |
005 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5521 |
008 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5531 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5512 |
008 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H4911 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5521 |
005 |
0 |
| Aetna Medicare |
Aetna Golden Choice Standard Plan |
H5510 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Choice Value Plan |
H4524 |
011 |
0 |
| Aetna Medicare |
Aetna Golden Choice Value Plan |
H4781 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Choice Value Plan |
H4781 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Choice Value Plan |
H4524 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Choice Value Plan |
H4524 |
005 |
0 |
| Aetna Medicare |
Aetna Golden Choice Value Plan |
H4524 |
009 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H1109 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H1419 |
006 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H3312 |
036 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H3312 |
053 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H3312 |
054 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H3312 |
056 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H3597 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H3623 |
013 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H3623 |
014 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H5414 |
013 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H5414 |
017 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H5414 |
018 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H5793 |
007 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H5950 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Basic Plan |
H6923 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H4523 |
009 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H0523 |
034 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H0523 |
047 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H0523 |
048 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H7908 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H2112 |
015 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H3597 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H3931 |
078 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H5414 |
016 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H5414 |
011 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H5950 |
003 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plan |
H5414 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plus Plan |
H3931 |
071 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plus Plan |
H2112 |
009 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plus Plan |
H5813 |
004 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plus Plan |
H0901 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plus Plan |
H4910 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plus Plan |
H3931 |
076 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Premier Plus Plan |
H2112 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Select Plan |
H0318 |
001 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H3312 |
050 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H3312 |
037 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H1419 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H1109 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H6923 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H5414 |
015 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H3152 |
047 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H3623 |
005 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H3931 |
075 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H5950 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H3623 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Standard Plan |
H2112 |
011 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Value Plan |
H5832 |
002 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Value Plan |
H5414 |
014 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Value Plan |
H4523 |
010 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Value Plan |
H3931 |
079 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Value Plan |
H4523 |
012 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Value Plan |
H3931 |
074 |
0 |
| Aetna Medicare |
Aetna Golden Medicare Value Plan |
H2112 |
008 |
0 |
| Aetna Medicare |
Aetna Medicare Open Basic Plan |
H5736 |
022 |
0 |
| Aetna Medicare |
Aetna Medicare Open Basic Plan w/Rx |
H5736 |
007 |
0 |
| Aetna Medicare |
Aetna Medicare Open Premier Plan |
H5736 |
013 |
0 |
| Aetna Medicare |
Aetna Medicare Open Premier Plan |
H5736 |
016 |
0 |
| Aetna Medicare |
Aetna Medicare Open Premier Plan w/Rx |
H5736 |
014 |
0 |
| Aetna Medicare |
Aetna Medicare Open Premier Plan w/Rx |
H5736 |
017 |
0 |
| Aetna Medicare |
Aetna Medicare Open Standard Plan |
H5736 |
019 |
0 |
| Aetna Medicare |
Aetna Medicare Open Standard Plan |
H5736 |
021 |
0 |
| Aetna Medicare |
Aetna Medicare Open Standard Plan |
H5736 |
023 |
0 |
| Aetna Medicare |
Aetna Medicare Open Standard Plan w/ RX |
H5736 |
027 |
0 |
| Aetna Medicare |
Aetna Medicare Open Standard Plan w/Rx |
H5736 |
024 |
0 |
| Aetna Medicare |
Aetna Medicare Open Standard Plan w/Rx |
H5736 |
026 |
0 |
| Aetna Medicare |
Aetna Medicare Open Value Plan |
H5736 |
011 |
0 |
| Aetna Medicare |
Aetna Medicare Open Value Plan w/Rx |
H5736 |
012 |
0 |
| Alliance Medicare PPO |
Alliance Medicare PPO Plan |
H2322 |
003 |
0 |
| Alliance Medicare PPO |
Alliance Medicare PPO Value Plan |
H2322 |
006 |
0 |
| Alliance Medicare PPO |
Alliance Medicare PPO Value Plan |
H2322 |
007 |
0 |
| Alliance Medicare PPO |
Alliance Medicare PPO Value Plan |
H2322 |
005 |
0 |
| Altius Advantra |
Altius Advantra Bronze |
H0806 |
003 |
0 |
| Altius Advantra |
Altius Advantra Bronze South |
H8649 |
006 |
0 |
| Altius Advantra |
Altius Advantra Gold |
H8649 |
001 |
0 |
| Altius Advantra |
Altius Advantra Gold South |
H8649 |
004 |
0 |
| Altius Advantra |
Altius Advantra Silver |
H0806 |
002 |
0 |
| Altius Advantra |
Altius Advantra Silver South |
H8649 |
005 |
0 |
| American Health Medicare |
AHM_Basic 2 |
H5774 |
017 |
0 |
| American Health Medicare |
AHM_Opal Metro |
H5774 |
021 |
0 |
| American Health Medicare |
AHM_Premier |
H5774 |
006 |
0 |
| AMERICA'S 1ST CHOICE HEALTH PLANS, INC. |
Ambassador |
H9720 |
024 |
0 |
| AMERICA'S 1ST CHOICE HEALTH PLANS, INC. |
Ambassador |
H9720 |
027 |
0 |
| AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC. |
Ambassador |
H0979 |
020 |
0 |
| AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC. |
Ambassador |
H0979 |
023 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Balance + Rx |
H5896 |
009 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Balance + Rx |
H8991 |
019 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Choice + Rx |
H3240 |
014 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Choice + Rx |
H5817 |
016 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Choice + Rx |
H5817 |
017 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Choice + Rx |
H6181 |
013 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Choice + Rx |
H3240 |
015 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Choice + Rx |
H7200 |
011 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Classic + Rx |
H2469 |
001 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Classic + Rx |
H5817 |
014 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Classic + Rx |
H3240 |
009 |
0 |
| AMERIGROUP Community Care |
AMERIVANTAGE Classic + Rx |
H8991 |
027 |
0 |
| AMERIGROUP Community Care of New Mexico |
AMERIVANTAGE Balance + Rx |
H5746 |
011 |
0 |
| AMERIGROUP Community Care of New Mexico |
AMERIVANTAGE Classic + Rx |
H5746 |
007 |
0 |
| AmeriHealth 65 |
AmeriHealth 65 NJ Plus Medical Only |
H3156 |
024 |
0 |
| AmeriHealth 65 |
AmeriHealth 65 NJ Plus Rx |
H3156 |
021 |
0 |
| AmeriHealth 65 |
AmeriHealth 65 NJ Preferred Medical Only |
H3156 |
025 |
0 |
| AmeriHealth 65 |
AmeriHealth 65 NJ Preferred Rx |
H3156 |
026 |
0 |
| Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage Basic |
H1511 |
001 |
0 |
| Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage Enhanced |
H1511 |
005 |
0 |
| Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage Enhanced |
H1849 |
014 |
0 |
| Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage Enhanced |
H3655 |
023 |
0 |
| Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage Enhanced |
H6184 |
001 |
0 |
| Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage Enhanced |
H9466 |
001 |
0 |
| Anthem Blue Cross and Blue Shield |
Blue Medicare Access Premier |
R5941 |
004 |
0 |
| Anthem Blue Cross and Blue Shield |
Blue Medicare Access Premier |
R5941 |
002 |
0 |
| Arkansas Blue Cross - Medi-Pak Advantage |
AR Blue Cross - Medi-Pak Advantage MA |
H5849 |
003 |
1 |
| Arkansas Blue Cross - Medi-Pak Advantage |
AR Blue Cross - Medi-Pak Advantage MA |
H5849 |
003 |
2 |
| Arkansas Blue Cross - Medi-Pak Advantage |
AR Blue Cross - Medi-Pak Advantage MA |
H5849 |
003 |
3 |
| Arkansas Blue Cross - Medi-Pak Advantage |
AR Blue Cross - Medi-Pak Advantage MA-PD |
H5849 |
005 |
0 |
| Arkansas Blue Cross - Medi-Pak Advantage |
AR Blue Cross - Medi-Pak Advantage MA-PD |
H5849 |
006 |
0 |
| Arkansas Blue Cross - Medi-Pak Advantage |
AR Blue Cross - Medi-Pak Advantage MA-PD |
H5849 |
007 |
0 |
| Arta Medicare Health Plan |
Arta Gold |
H5948 |
003 |
0 |
| Asuris Northwest Health |
Asuris TruAdvantage + Rx Core |
H5010 |
006 |
0 |
| ATRIO MyAdvantage |
ATRIO MyAdvantage Elite Rx Plus |
H3814 |
016 |
0 |
| ATRIO MyAdvantage |
ATRIO MyAdvantage I Rx |
H3814 |
004 |
0 |
| ATRIO MyAdvantage |
ATRIO MyAdvantage II Rx Plus |
H3814 |
008 |
0 |
| AvMed Medicare Preferred PPO |
AvMed Medicare Preferred PPO |
H5436 |
001 |
0 |
| AvMed Medicare Preferred PPO |
AvMed Medicare Preferred PPO |
H5436 |
002 |
0 |
| Blue Cross and Blue Shield of Florida, Inc. |
BlueMedicare PPO |
H5434 |
016 |
0 |
| Blue Cross and Blue Shield of Florida, Inc. |
BlueMedicare PPO |
H5434 |
015 |
0 |
| Blue Cross and Blue Shield of Florida, Inc. |
BlueMedicare PPO |
H5434 |
001 |
0 |
| Blue Cross and Blue Shield of Florida, Inc. |
BlueMedicare PPO |
H5434 |
014 |
0 |
| Blue Cross and Blue Shield of Florida, Inc. |
BlueMedicare PPO |
H5434 |
018 |
0 |
| Blue Cross and Blue Shield of Massachusetts |
Blue Medicare PFFS PlusRx |
H3011 |
001 |
0 |
| Blue Cross and Blue Shield of Massachusetts |
Medicare HMO Blue PremierRx |
H2261 |
011 |
0 |
| Blue Cross and Blue Shield of Massachusetts |
Medicare PPO Blue PremierRx |
H2230 |
006 |
0 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option A |
H2319 |
008 |
8 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option C |
H2319 |
010 |
1 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option C |
H2319 |
010 |
2 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option C |
H2319 |
010 |
3 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option C |
H2319 |
010 |
4 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option C |
H2319 |
010 |
5 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option C |
H2319 |
010 |
6 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option D |
H2319 |
011 |
1 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option D |
H2319 |
011 |
2 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option D |
H2319 |
011 |
3 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option D |
H2319 |
011 |
4 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option D |
H2319 |
011 |
5 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue Option D |
H2319 |
011 |
6 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS Basic |
H4979 |
001 |
2 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS Classic |
H4979 |
003 |
2 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS MA2 |
H5884 |
001 |
2 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS MA2 |
H5884 |
001 |
1 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS MA3 |
H5884 |
006 |
2 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS MA3 |
H5884 |
006 |
1 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS Silver |
H5884 |
002 |
2 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS Silver |
H5884 |
002 |
1 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS Value |
H4979 |
002 |
2 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage PFFS Value |
H4979 |
002 |
1 |
| Bravo Health |
Bravo Liberty Bell |
H6421 |
011 |
0 |
| Bravo Health |
Bravo Liberty II |
H6421 |
009 |
0 |
| Bravo Health |
Bravo Liberty II |
H6421 |
003 |
0 |
| Bravo Health |
Bravo Liberty II Rx |
H6421 |
007 |
0 |
| Bravo Health |
Bravo Liberty Silver |
H6421 |
010 |
0 |
| Bravo Health |
Bravo Classic |
H3949 |
012 |
0 |
| Bravo Health |
Bravo Gold |
H2108 |
025 |
0 |
| Bravo Health |
Bravo Gold |
H3949 |
019 |
0 |
| Bravo Health |
Bravo Liberty Bell |
H7406 |
009 |
0 |
| Bravo Health |
Bravo Liberty Bell |
H7406 |
010 |
0 |
| Bravo Health |
Bravo Liberty II |
H7406 |
008 |
0 |
| Bravo Health |
Bravo Liberty II |
H7406 |
003 |
0 |
| Bravo Health |
Bravo Liberty II Rx |
H7406 |
007 |
0 |
| Bravo Health |
Bravo Premier Plus |
H2108 |
023 |
0 |
| Bravo Health |
Bravo Premier Plus |
H3949 |
015 |
0 |
| Bravo Health |
Bravo Silver |
H4528 |
011 |
0 |
| Bravo Health |
Bravo Silver |
H3949 |
021 |
0 |
| Capital Advantage Insurance Company |
SeniorBlue PPO - Option 4 |
H3923 |
009 |
0 |
| Care1st Medicare Advantage Plan |
Care1st Private Label Plan |
H5928 |
011 |
0 |
| Carelink Advantra PPO |
Advantra Capital |
H5517 |
005 |
0 |
| Carelink Advantra PPO |
Advantra Platinum |
H5517 |
002 |
0 |
| Carelink Advantra PPO |
Advantra Silver |
H5517 |
003 |
0 |
| CarePlus Health Plans, Inc. |
CareComplete Plan |
H1019 |
034 |
0 |
| CareSource |
CareSource Diamond PPO |
H2481 |
005 |
0 |
| CareSource |
CareSource Diamond PPO Plus Rx |
H2481 |
006 |
0 |
| CareSource |
CareSource Platinum |
H3810 |
011 |
0 |
| CareSource |
CareSource Platinum Plus Rx |
H3810 |
012 |
0 |
| CareSource |
CareSource Silver |
H3810 |
013 |
0 |
| CareSource |
CareSource Silver - Coos County |
H3810 |
015 |
0 |
| CareSource |
CareSource Silver Plus Rx - Coos County |
H3810 |
016 |
0 |
| CareSource |
CareSource Silver Plus Rx |
H3810 |
014 |
0 |
| Cariten Senior Health |
Cariten Senior Health Value |
H4461 |
014 |
0 |
| Cariten Senior Health |
Cariten Senior Health Value Elite |
H4461 |
017 |
0 |
| Cariten Senior Health |
Cariten Senior Health-Advantage Hamilton |
H4461 |
007 |
0 |
| Cariten Senior Health (PPO) |
Cariten Senior Health PPO |
H5523 |
001 |
0 |
| CDPHP Medicare Choices |
CDPHP Premier |
H3388 |
009 |
0 |
| CDPHP Medicare Choices |
CDPHP Premier Rx |
H3388 |
010 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plan One |
H5179 |
005 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plan One |
H5179 |
004 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Four |
H2762 |
037 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Four |
H2762 |
051 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Four |
H5179 |
006 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Four |
H2762 |
039 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Four |
H2762 |
053 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Four |
H2762 |
041 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Four |
H2762 |
055 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
043 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
029 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H5179 |
002 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
031 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
045 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
033 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
047 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H5179 |
001 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
035 |
0 |
| CIGNA Medicare Access |
CIGNA Medicare Access Plus RX Plan Two |
H2762 |
049 |
0 |
| Citrus Health Care, Inc. |
Citrus Advantage |
H5407 |
024 |
0 |
| Citrus Health Care, Inc. |
Citrus Platinum Plus |
H5407 |
009 |
0 |
| Citrus Health Care, Inc. |
Citrus Platinum Plus |
H5407 |
021 |
0 |
| Citrus Health Care, Inc. |
Citrus Platinum Plus |
H5407 |
022 |
0 |
| Citrus Health Care, Inc. |
Citrus Saver |
H5407 |
005 |
0 |
| Citrus Health Care, Inc. |
Citrus Saver |
H5407 |
014 |
0 |
| Citrus Health Care, Inc. |
Citrus Saver |
H5407 |
015 |
0 |
| Citrus Health Care, Inc. |
Citrus Saver |
H5407 |
016 |
0 |
| Citrus Health Care, Inc. |
CitrusCare |
H5407 |
001 |
0 |
| Citrus Health Care, Inc. |
CitrusCare |
H5407 |
004 |
0 |
| Citrus Health Care, Inc. |
CitrusCare |
H5407 |
006 |
0 |
| Citrus Health Care, Inc. |
CitrusCare |
H5407 |
007 |
0 |
| Clear Choice Health Plans |
Big Sky Classic |
H0427 |
002 |
0 |
| Clear Choice Health Plans |
Big Sky Premier |
H0427 |
001 |
0 |
| Community HealthFirst Medicare Advantage Plan |
Community HealthFirst Medicare Complete |
H5826 |
007 |
0 |
| CosviMed Care |
CosviMed Care |
H5760 |
001 |
0 |
| CosviMed Care |
CosviMed Care Freedom |
H5760 |
007 |
0 |
| CosviMed Care |
CosviMed Care RmaX |
H5760 |
003 |
0 |
| Coventry Advantra |
Advantra |
H7692 |
001 |
0 |
| Coventry Advantra |
Advantra |
H8239 |
001 |
0 |
| Coventry Advantra |
Advantra Premium |
H7306 |
002 |
0 |
| Coventry Health and Life Insurance Company |
Advantra Platinum Plus PPO |
H1608 |
002 |
0 |
| Coventry Health and Life Insurance Company |
Advantra Platinum Plus PPO SD |
H0370 |
002 |
0 |
| Coventry Health Care of Iowa, Inc. |
Advantra Gold |
H1609 |
003 |
0 |
| Coventry Health Care of Iowa, Inc. |
Advantra Gold SW |
H1609 |
008 |
0 |
| Coventry Health Care of Nebraska Advantra |
Advantra Gold |
H7149 |
002 |
0 |
| Denver Health Medical Plan |
Denver Health Medicare Premium Plus |
H5608 |
003 |
0 |
| Educators Mutual Insurance Association |
Educators Classic MA |
H0747 |
009 |
0 |
| Educators Mutual Insurance Association |
Educators Classic MAPD |
H0747 |
010 |
0 |
| Educators Mutual Insurance Association |
Educators Complete MA |
H0747 |
005 |
0 |
| Educators Mutual Insurance Association |
Educators Complete MAPD |
H0747 |
007 |
0 |
| Educators Mutual Insurance Association |
Educators Complete Plus MA |
H0747 |
006 |
0 |
| Educators Mutual Insurance Association |
Educators Complete Plus MAPD |
H0747 |
008 |
0 |
| Elderplan, Inc. |
Elderplan Classic III |
H3347 |
006 |
0 |
| Elderplan, Inc. |
Metropolitan Health Options |
H8805 |
001 |
0 |
| Empire BlueCross BlueShield |
SmartValue Classic |
H5304 |
002 |
0 |
| Empire BlueCross BlueShield |
SmartValue Essential |
H5304 |
005 |
0 |
| Empire BlueCross BlueShield |
SmartValue Essential Plus |
H5304 |
006 |
0 |
| Empire BlueCross BlueShield |
SmartValue Plus |
H5304 |
007 |
0 |
| Essence Healthcare |
Essence Advantage |
H0133 |
001 |
0 |
| Essence Healthcare |
Essence Advantage Plus |
H1837 |
004 |
0 |
| Evercare® Health Plans |
AARP MedicareComplete Choice |
H1108 |
007 |
0 |
| Evercare® Health Plans |
AARP MedicareCompleteChoicePlan1 |
H5417 |
006 |
0 |
| Evercare® Health Plans |
SecureHorizons MedicareComplete |
H4514 |
010 |
0 |
| Excellus Health Plan, Inc |
Medicare Blue PPO Plan FIVE |
H3335 |
046 |
0 |
| Excellus Health Plan, Inc |
Medicare Blue PPO Plan FIVE |
H3335 |
047 |
0 |
| Excellus Health Plan, Inc |
Medicare Blue PPO Plan FIVE |
H3335 |
048 |
0 |
| Excellus Health Plan, Inc |
Medicare Blue PPO Plan FIVE |
H3335 |
049 |
0 |
| Excellus Health Plan, Inc |
Medicare Blue PPO Plan FIVE |
H3335 |
050 |
0 |
| Fallon Community Health Plan |
Fallon Senior Plan Plus |
H9001 |
016 |
0 |
| Fallon Community Health Plan |
Fallon Senior Plan Plus Basic Rx |
H9001 |
006 |
0 |
| FirstCare Advantage |
FirstCare Advantage Platinum |
H4525 |
006 |
0 |
| Freedom Health, Inc. |
Freedom Choice |
H5427 |
075 |
0 |
| Freedom Health, Inc. |
Freedom Medicare Plan |
H5427 |
058 |
0 |
| Freedom Health, Inc. |
Freedom Savings Plan Rx |
H5427 |
056 |
0 |
| Fresenius Medical Care Health Plan |
Fresenius Medical Care Health Plan |
H5301 |
007 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 |
H3954 |
128 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 |
H3954 |
107 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 |
H3954 |
119 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 $0 Deductible Rx |
H3954 |
130 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 $0 Deductible Rx |
H3954 |
109 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 $0 Deductible Rx |
H3954 |
121 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 Standard Rx |
H3954 |
129 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 Standard Rx |
H3954 |
108 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 1 Standard Rx |
H3954 |
120 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 |
H3954 |
131 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 |
H3954 |
065 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 |
H3954 |
012 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 |
H3954 |
077 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 $0 Deductible Rx |
H3954 |
133 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 $0 Deductible Rx |
H3954 |
067 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 $0 Deductible Rx |
H3954 |
048 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 $0 Deductible Rx |
H3954 |
079 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 Standard Rx |
H3954 |
132 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 Standard Rx |
H3954 |
066 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 Standard Rx |
H3954 |
047 |
0 |
| Geisinger Gold |
Geisinger Gold Classic 2 Standard Rx |
H3954 |
078 |
0 |
| Geisinger Gold |
Geisinger Gold Open 2 $0 Deductible |
H5812 |
063 |
0 |
| Geisinger Gold |
Geisinger Gold Open 2 $0 Deductible Rx |
H5812 |
012 |
0 |
| Geisinger Gold |
Geisinger Gold Open 2 $0 Deductible Rx |
H5812 |
061 |
0 |
| Geisinger Gold |
Geisinger Gold Open 2 $0 Deductible Rx |
H5812 |
030 |
0 |
| Geisinger Gold |
Geisinger Gold Open 2 $0 Deductible Rx |
H5812 |
062 |
0 |
| Geisinger Gold |
Geisinger Gold Open 3 |
H5812 |
055 |
0 |
| Geisinger Gold |
Geisinger Gold Open 3 |
H5812 |
056 |
0 |
| Geisinger Gold |
Geisinger Gold Open 5 |
H5812 |
059 |
0 |
| Geisinger Gold |
Geisinger Gold Open 5 |
H5812 |
060 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
042 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
036 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
009 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
013 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
039 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
033 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
025 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
029 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred |
H3924 |
005 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
044 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
038 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
011 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
015 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
041 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
035 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
027 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
031 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred $0 Deductible Rx |
H3924 |
007 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
043 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
037 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
010 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
014 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
040 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
034 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
026 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
030 |
0 |
| Geisinger Gold |
Geisinger Gold Preferred Standard Rx |
H3924 |
006 |
0 |
| Geisinger Gold |
Geisinger Gold Reserve 4 |
H8468 |
004 |
0 |
| Generations Healthcare |
Generations Healthcare Premier powered by CCRx |
H3706 |
014 |
0 |
| Generations Healthcare |
Generations Healthcare Star powered CCRx |
H3706 |
015 |
0 |
| Generations Healthcare |
Generations Healthcare Star powered CCRx |
H3706 |
016 |
0 |
| GHI Medicare Choice PPO |
GHI Medicare PPO IV |
H5528 |
015 |
0 |
| GHI Medicare Choice PPO |
GHI Medicare PPO IV |
H5528 |
017 |
0 |
| GHI Medicare Choice PPO |
GHI Medicare PPO IV |
H5528 |
016 |
0 |
| GHI Medicare Choice PPO |
GHI Medicare PPO Select |
H5528 |
012 |
0 |
| Group Health Plan, Inc. |
Gold Advantage Option 2 |
H2663 |
007 |
0 |
| HARVARD PILGRIM HEALTH CARE INC. |
First Seniority Freedom - No Drug |
H7226 |
014 |
0 |
| Health Alliance Medical Plans |
Health Alliance Medicare PPO Basic |
H1417 |
007 |
0 |
| Health Alliance Medical Plans |
Health Alliance Medicare PPO Basic Rx |
H1417 |
008 |
0 |
| Health Alliance Medical Plans |
Health Alliance Medicare PPO Basic Rx Plus |
H1417 |
009 |
0 |
| Health First Medicare Plans |
Health First Explorer Plan |
H1099 |
011 |
0 |
| Health First Medicare Plans |
Health First Premier Plan |
H1099 |
010 |
0 |
| Health Net |
Health Net Violet |
R5863 |
001 |
0 |
| Health Net of Arizona, Inc. |
Health Net Ruby Option 2 |
H0351 |
033 |
0 |
| Health Net of CA |
Health Net Medicare Advantage HMO without Rx |
H0562 |
080 |
0 |
| Health Net of CA |
Health Net Medicare Advantage HMO without Rx |
H0562 |
047 |
0 |
| Health Net of CA |
Health Net Medicare Advantage HMO without Rx |
H0562 |
046 |
0 |
| Health Net of CA |
Health Net Medicare Advantage HMO without Rx |
H0562 |
049 |
0 |
| Health Net of CA |
Health Net Medicare Advantage HMO without Rx |
H0562 |
069 |
0 |
| Health Net of CA |
Health Net Medicare Advantage HMO without Rx |
H0562 |
057 |
0 |
| Health Net of CA |
Health Net Medicare Advantage HMO without Rx |
H0562 |
078 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 1 |
H5996 |
006 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 2 |
H5996 |
017 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 3 |
H5996 |
028 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 3 |
H5996 |
067 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 4 |
H5996 |
066 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 4 |
H5996 |
025 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 5 w/Drug |
H5996 |
065 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 6 w/Drug |
H5996 |
064 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 7 w/Drug |
H5996 |
063 |
0 |
| Health Net Pearl |
Health Net Pearl CA Option 8 w/Drug |
H5996 |
062 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 1 |
H5996 |
061 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 10 w/Drug |
H5996 |
052 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 2 |
H5996 |
060 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 3 |
H5996 |
059 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 4 |
H5996 |
058 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 5 |
H5996 |
057 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 6 |
H5996 |
056 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 7 |
H5996 |
055 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 8 w/Drug |
H5996 |
054 |
0 |
| Health Net Pearl |
Health Net Pearl GA Option 9 w/Drug |
H5996 |
053 |
0 |
| Health Net Pearl |
Health Net Pearl HI Option 1 |
H5996 |
068 |
0 |
| Health Net Pearl |
Health Net Pearl HI Option 1 |
H5996 |
029 |
0 |
| Health Net Pearl |
Health Net Pearl HI Option 2 w/Drug |
H5996 |
069 |
0 |
| Health Net Pearl |
Health Net Pearl MA Low T2 |
H5996 |
030 |
0 |
| Health Net Pearl |
Health Net Pearl MA Option 1 |
H5996 |
027 |
0 |
| Health Net Pearl |
Health Net Pearl MA Option 2 |
H5996 |
026 |
0 |
| Health Net Pearl |
Health Net Pearl MA Option 4 |
H5996 |
024 |
0 |
| Health Net Pearl |
Health Net Pearl NC Option 1 |
H5996 |
014 |
0 |
| Health Net Pearl |
Health Net Pearl NC Option 2 |
H5996 |
013 |
0 |
| Health Net Pearl |
Health Net Pearl NC Option 3 |
H5996 |
012 |
0 |
| Health Net Pearl |
Health Net Pearl NC Option 4 |
H5996 |
011 |
0 |
| Health Net Pearl |
Health Net Pearl NC Option 6 |
H5996 |
005 |
0 |
| Health Net Pearl |
Health Net Pearl NM Option 1 |
H5996 |
023 |
0 |
| Health Net Pearl |
Health Net Pearl NM Option 2 |
H5996 |
022 |
0 |
| Health Net Pearl |
Health Net Pearl NM Option 3 |
H5996 |
019 |
0 |
| Health Net Pearl |
Health Net Pearl NM Option 4 |
H5996 |
018 |
0 |
| Health Net Pearl |
Health Net Pearl NM Option 6 w/Drug |
H5996 |
015 |
0 |
| Health Net Pearl |
Health Net Pearl NY MA High Tier 1 |
H5721 |
003 |
0 |
| Health Net Pearl |
Health Net Pearl NY MA High Tier 2 |
H5721 |
006 |
0 |
| Health Net Pearl |
Health Net Pearl NY MA Low Tier 1 |
H5721 |
001 |
0 |
| Health Net Pearl |
Health Net Pearl NY MA Low Tier 2 |
H5721 |
002 |
0 |
| Health Net Pearl |
Health Net Pearl NY MAPD |
H5721 |
004 |
0 |
| Health Net Pearl |
Health Net Pearl OR Option 1 |
H5996 |
038 |
0 |
| Health Net Pearl |
Health Net Pearl OR Option 2 |
H5996 |
039 |
0 |
| Health Net Pearl |
Health Net Pearl OR Option 3 |
H5996 |
040 |
0 |
| Health Net Pearl |
Health Net Pearl OR Option 4 w/Drug |
H5996 |
041 |
0 |
| Health Net Pearl |
Health Net Pearl OR Option 5 w/Drug |
H5996 |
042 |
0 |
| Health Net Pearl |
Health Net Pearl OR Option 6 w/Drug |
H5996 |
043 |
0 |
| Health Net Pearl |
Health Net Pearl TX Option 2 |
H5996 |
016 |
0 |
| Health Net Pearl |
Health Net Pearl TX Option 3 |
H5996 |
002 |
0 |
| Health Net Pearl |
Health Net Pearl TX Option 4 |
H5996 |
032 |
0 |
| Health Net Pearl |
Health Net Pearl TX Option 5 |
H5996 |
007 |
0 |
| Health Net Pearl |
Health Net Pearl TX Option 6 w/Drug |
H5996 |
031 |
0 |
| Health Net Pearl |
Health Net Pearl TX Option 7 w/Drug |
H5996 |
020 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 1 |
H5996 |
001 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 2 |
H5996 |
044 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 3 |
H5996 |
045 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 4 |
H5996 |
046 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 5 |
H5996 |
047 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 6 |
H5996 |
048 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 7 w/Drug |
H5996 |
049 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 8 w/Drug |
H5996 |
050 |
0 |
| Health Net Pearl |
Health Net Pearl VA Option 9 w/Drug |
H5996 |
051 |
0 |
| Health Net Pearl |
Health Net Pearl WA Option 1 |
H5996 |
033 |
0 |
| Health Net Pearl |
Health Net Pearl WA Option 2 |
H5996 |
003 |
0 |
| Health Net Pearl |
Health Net Pearl WA Option 3 |
H5996 |
034 |
0 |
| Health Net Pearl |
Health Net Pearl WA Option 4 w/Drug |
H5996 |
035 |
0 |
| Health Net Pearl |
Health Net Pearl WA Option 5 w/Drug |
H5996 |
036 |
0 |
| Health Net Pearl |
Health Net Pearl WA Option 6 w/Drug |
H5996 |
037 |
0 |
| Health Options, Inc / Blue Cross Blue Shield of FL |
BlueMedicare HMO |
H1026 |
035 |
0 |
| Health Options, Inc / Blue Cross Blue Shield of FL |
BlueMedicare HMO |
H1026 |
039 |
0 |
| Health Plan of Nevada, Inc. |
Senior Dimensions Northern Nevada Plan |
H2931 |
006 |
0 |
| Health Plan SecureFreedom |
SecureFreedom |
H6621 |
002 |
0 |
| Health Plan SecureFreedom |
SecureFreedom |
H6621 |
001 |
0 |
| HealthAmerica Advantra |
Advantra Bronze |
H3959 |
023 |
0 |
| HealthAmerica Advantra |
Advantra Gold |
H3959 |
006 |
0 |
| HealthAmerica Advantra |
Advantra MA Only |
H3959 |
013 |
0 |
| Healthfirst NJ |
Healthfirst NJ Life Improvement Plan |
H7015 |
005 |
0 |
| HealthPartners Freedom Plan |
HealthPartners Freedom II Std Plus Rx |
H2462 |
013 |
0 |
| HealthPartners Freedom Plan |
HealthPartners Freedom Plan II Enhanced Rx |
H2462 |
009 |
0 |
| HealthPartners Liberty Medicare |
HealthPartners Liberty Medicare Rx |
H9931 |
001 |
0 |
| Healthspring |
HealthSpring HealthyLiving Elite |
H4454 |
027 |
0 |
| Healthspring |
HealthSpring HealthyLiving Select |
H4454 |
022 |
0 |
| Healthspring |
HealthSpring HealthyLiving West |
H4454 |
024 |
0 |
| HealthSpring Life & Health Insurance Company, Inc. |
HealthSpring HealthyAdvantage |
H9086 |
002 |
0 |
| HealthSpring Life & Health Insurance Company, Inc. |
HealthSpring HealthyAdvantage Plus |
H9086 |
001 |
0 |
| HealthSpring Life & Health Insurance Company, Inc. |
HealthSpring HeathlyLiving Premier |
H9086 |
003 |
0 |
| Healthspring of Alabama, Inc. |
HealthSpring HealthyLiving Plus |
H0150 |
017 |
0 |
| Healthspring, Inc. |
HealthSpring HealthyLiving Elite NMS |
H4407 |
019 |
0 |
| Healthspring, Inc. |
HealthSpring HealthyLiving Plus |
H4407 |
012 |
0 |
| Highmark Health Insurance Company |
FreedomBlue PFFS Choice |
H1643 |
005 |
0 |
| Highmark Health Insurance Company |
FreedomBlue PFFS Choice Plus |
H1643 |
004 |
0 |
| Highmark Health Insurance Company |
FreedomBlue PFFS Enhanced |
H1643 |
003 |
0 |
| Highmark Health Insurance Company |
FreedomBlue PFFS Enhanced |
H1643 |
006 |
0 |
| Highmark Inc. |
FreedomBlue PFFS Choice |
H9793 |
005 |
0 |
| Highmark Inc. |
FreedomBlue PFFS Choice Plus |
H9793 |
004 |
0 |
| Highmark Inc. |
FreedomBlue PFFS Enhanced |
H9793 |
003 |
0 |
| Highmark Inc. |
FreedomBlue PFFS Enhanced |
H9793 |
006 |
0 |
| Highmark Inc. |
FreedomBlue PPO Classic |
H3916 |
003 |
0 |
| Highmark Inc. |
FreedomBlue PPO HD Rx |
H3916 |
021 |
0 |
| Highmark Inc. |
FreedomBlue PPO Platinum |
H3916 |
028 |
0 |
| Highmark Inc. |
FreedomBlue PPO Select |
H3916 |
023 |
0 |
| HISC - Blue Cross Blue Shield of New Mexico |
Blue Medicare PPO - Advantage |
H3208 |
001 |
0 |
| HISC - Blue Cross Blue Shield of New Mexico |
Blue Medicare PPO - Premier |
H3208 |
004 |
0 |
| HISC - Blue Cross Blue Shield of New Mexico |
Blue Medicare PPO - Value |
H3208 |
003 |
0 |
| HISC - Blue Cross Blue Shield of Texas |
Blue Medicare PPO - Advantage |
H4531 |
001 |
0 |
| HISC - Blue Cross Blue Shield of Texas |
Blue Medicare PPO - Premier |
H4531 |
004 |
0 |
| HISC - Blue Cross Blue Shield of Texas |
Blue Medicare PPO - Value |
H4531 |
003 |
0 |
| Horizon Blue Cross Blue Shield of New Jersey, Inc. |
Horizon Medicare Blue Access w/ Rx Plus |
H3154 |
015 |
0 |
| Horizon Blue Cross Blue Shield of New Jersey, Inc. |
Horizon Medicare Blue Value w/ Rx Plus |
H3154 |
017 |
0 |
| Humana Benefit Plan of Illinois, Inc. |
Humana Gold Plus HMO H1468-004 |
H1468 |
004 |
0 |
| Humana Benefit Plan of Illinois, Inc. |
Humana Gold Plus HMO H1468-005 |
H1468 |
005 |
0 |
| Humana Benefit Plan of Illinois, Inc. |
HumanaChoicePPO PPO H5525-001 |
H5525 |
001 |
0 |
| Humana Benefit Plan of Illinois, Inc. |
HumanaChoicePPO PPO H5525-002 |
H5525 |
002 |
0 |
| Humana Health Benefit Plan of LA, Inc. |
Humana Gold Choice PFFS H1906-002 |
H1906 |
002 |
0 |
| Humana Health Benefit Plan of LA, Inc. |
Humana Gold Choice PFFS H1906-003 |
H1906 |
003 |
0 |
| Humana Health Benefit Plan of LA, Inc. |
Humana Gold Choice PFFS H1906-006 |
H1906 |
006 |
0 |
| Humana Health Benefit Plan of LA, Inc. |
Humana Gold Choice PFFS H1906-007 |
H1906 |
007 |
0 |
| Humana Health Benefit Plan Of Louisiana Inc |
Humana Gold Plus HMO H1951-023 |
H1951 |
023 |
0 |
| Humana Health Plan, Inc. |
Humana Gold Plus HMO H2949-011 |
H2949 |
011 |
0 |
| Humana Insurance Company |
Humana Choice PPO (H0623-007) |
H0623 |
007 |
0 |
| Humana Insurance Company |
Humana Choice PPO (H0623-008) |
H0623 |
008 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-001 |
H1804 |
001 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-005 |
H1804 |
005 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-006 |
H1804 |
006 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-007 |
H1804 |
007 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-008 |
H1804 |
008 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-009 |
H1804 |
009 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-011 |
H1804 |
011 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-013 |
H1804 |
013 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-014 |
H1804 |
014 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-016 |
H1804 |
016 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-018 |
H1804 |
018 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-019 |
H1804 |
019 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-020 |
H1804 |
020 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-022 |
H1804 |
022 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-023 |
H1804 |
023 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-025 |
H1804 |
025 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-061 |
H1804 |
061 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-063 |
H1804 |
063 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-066 |
H1804 |
066 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-067 |
H1804 |
067 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-068 |
H1804 |
068 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-075 |
H1804 |
075 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-077 |
H1804 |
077 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-081 |
H1804 |
081 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-086 |
H1804 |
086 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-087 |
H1804 |
087 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-089 |
H1804 |
089 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-090 |
H1804 |
090 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-091 |
H1804 |
091 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-093 |
H1804 |
093 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-094 |
H1804 |
094 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-095 |
H1804 |
095 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-097 |
H1804 |
097 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-098 |
H1804 |
098 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-103 |
H1804 |
103 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-122 |
H1804 |
122 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-125 |
H1804 |
125 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-126 |
H1804 |
126 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-127 |
H1804 |
127 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-129 |
H1804 |
129 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-130 |
H1804 |
130 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-131 |
H1804 |
131 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-132 |
H1804 |
132 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-133 |
H1804 |
133 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-137 |
H1804 |
137 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-138 |
H1804 |
138 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-145 |
H1804 |
145 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-146 |
H1804 |
146 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-147 |
H1804 |
147 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-148 |
H1804 |
148 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-149 |
H1804 |
149 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-150 |
H1804 |
150 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-153 |
H1804 |
153 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-154 |
H1804 |
154 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-155 |
H1804 |
155 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-156 |
H1804 |
156 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-157 |
H1804 |
157 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-161 |
H1804 |
161 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-162 |
H1804 |
162 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-163 |
H1804 |
163 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-165 |
H1804 |
165 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-166 |
H1804 |
166 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-167 |
H1804 |
167 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-168 |
H1804 |
168 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-169 |
H1804 |
169 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-170 |
H1804 |
170 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-171 |
H1804 |
171 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-172 |
H1804 |
172 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-173 |
H1804 |
173 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-174 |
H1804 |
174 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-175 |
H1804 |
175 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-176 |
H1804 |
176 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-177 |
H1804 |
177 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-178 |
H1804 |
178 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-179 |
H1804 |
179 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-180 |
H1804 |
180 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-181 |
H1804 |
181 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-184 |
H1804 |
184 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-185 |
H1804 |
185 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-187 |
H1804 |
187 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-188 |
H1804 |
188 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-190 |
H1804 |
190 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-192 |
H1804 |
192 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-193 |
H1804 |
193 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-195 |
H1804 |
195 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-196 |
H1804 |
196 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-197 |
H1804 |
197 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-198 |
H1804 |
198 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-199 |
H1804 |
199 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-200 |
H1804 |
200 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-201 |
H1804 |
201 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-202 |
H1804 |
202 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-203 |
H1804 |
203 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-204 |
H1804 |
204 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-205 |
H1804 |
205 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-207 |
H1804 |
207 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-209 |
H1804 |
209 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-210 |
H1804 |
210 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-211 |
H1804 |
211 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-212 |
H1804 |
212 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-213 |
H1804 |
213 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-214 |
H1804 |
214 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-215 |
H1804 |
215 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-216 |
H1804 |
216 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-217 |
H1804 |
217 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-218 |
H1804 |
218 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-219 |
H1804 |
219 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-223 |
H1804 |
223 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-224 |
H1804 |
224 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-225 |
H1804 |
225 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-226 |
H1804 |
226 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-227 |
H1804 |
227 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-228 |
H1804 |
228 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-229 |
H1804 |
229 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-230 |
H1804 |
230 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-231 |
H1804 |
231 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-232 |
H1804 |
232 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-233 |
H1804 |
233 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-234 |
H1804 |
234 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-235 |
H1804 |
235 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-236 |
H1804 |
236 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-237 |
H1804 |
237 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-238 |
H1804 |
238 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-239 |
H1804 |
239 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-240 |
H1804 |
240 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-241 |
H1804 |
241 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-244 |
H1804 |
244 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-245 |
H1804 |
245 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-246 |
H1804 |
246 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-251 |
H1804 |
251 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-252 |
H1804 |
252 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-253 |
H1804 |
253 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-254 |
H1804 |
254 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-256 |
H1804 |
256 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-257 |
H1804 |
257 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-258 |
H1804 |
258 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-259 |
H1804 |
259 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-261 |
H1804 |
261 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-262 |
H1804 |
262 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-263 |
H1804 |
263 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-265 |
H1804 |
265 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-268 |
H1804 |
268 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-269 |
H1804 |
269 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-270 |
H1804 |
270 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-271 |
H1804 |
271 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-272 |
H1804 |
272 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-273 |
H1804 |
273 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-274 |
H1804 |
274 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-275 |
H1804 |
275 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-276 |
H1804 |
276 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-277 |
H1804 |
277 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-278 |
H1804 |
278 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-279 |
H1804 |
279 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-280 |
H1804 |
280 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-281 |
H1804 |
281 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-282 |
H1804 |
282 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-283 |
H1804 |
283 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-284 |
H1804 |
284 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-285 |
H1804 |
285 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-286 |
H1804 |
286 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-287 |
H1804 |
287 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-288 |
H1804 |
288 |
0 |
| Humana Insurance Company |
Humana Gold Choice PFFS H1804-289 |
H1804 |
289 |
0 |
| Humana Insurance Company |
Humana MyCare |
H7002 |
001 |
0 |
| Humana Insurance Company |
Humana MyCare |
H1716 |
010 |
0 |
| Humana Insurance Company |
HumanaChoicePPO PPO H1716-009 |
H1716 |
009 |
0 |
| Humana Insurance Company |
HumanaChoicePPO PPO H4606-004 |
H4606 |
004 |
0 |
| Humana Insurance Company |
HumanaChoicePPO PPO H5868-003 |
H5868 |
003 |
0 |
| Humana Insurance Company |
HumanaChoicePPO PPO H7188-001 |
H7188 |
001 |
0 |
| Humana Insurance Company |
HumanaChoicePPO PPO H8644-001 |
H8644 |
001 |
0 |
| Humana Insurance Company |
HumanaChoicePPO PPO R5826-071 |
R5826 |
071 |
0 |
| Humana Insurance Company |
HumanaChoicePPO PPO R5826-073 |
R5826 |
073 |
0 |
| Humana Insurance Company of New York |
Humana Gold Choice PFFS H5657-004 |
H5657 |
004 |
0 |
| Humana Insurance Company of New York |
Humana Gold Choice PFFS H5657-005 |
H5657 |
005 |
0 |
| Humana Insurance Company of New York |
Humana Gold Choice PFFS H5657-006 |
H5657 |
006 |
0 |
| Humana Medical Plan, Inc. |
Humana Gold Plus HMO H1036-037C |
H1036 |
037 |
0 |
| Humana Medical Plan, Inc. |
Humana Gold Plus HMO H1036-100 |
H1036 |
100 |
0 |
| Humana Medical Plan, Inc. |
Humana Gold Plus HMO H1036-123C |
H1036 |
123 |
0 |
| Humana Medical Plan, Inc. |
Humana Gold Plus HMO H1036-127C |
H1036 |
127 |
0 |
| Humana Medical Plan, Inc. |
Humana Gold Plus HMO H1036-128C |
H1036 |
128 |
0 |
| Humana Medical Plan, Inc. |
Humana Gold Plus HMO H1036-129C |
H1036 |
129 |
0 |
| iCare |
iCare Medicare Plan-Northeast |
H2237 |
006 |
0 |
| Independent Health |
Independent Health Encompass 65 Basic |
H3362 |
018 |
0 |
| Independent Health |
Independent Health Medicare Anywhere |
H9519 |
002 |
0 |
| InStil Health Insurance Company |
InStil InCare |
H4204 |
002 |
0 |
| InStil Health Insurance Company |
InStil InCare |
H4204 |
022 |
0 |
| InStil Health Insurance Company |
InStil InCare Enriched |
H4204 |
024 |
0 |
| InStil Health Insurance Company |
InStil InCare Enriched |
H4204 |
023 |
0 |
| InStil Health Insurance Company |
InStil InCare Enriched MAPD |
H4204 |
031 |
0 |
| InStil Health Insurance Company |
InStil InCare Enriched MAPD |
H4204 |
030 |
0 |
| InStil Health Insurance Company |
InStil InCare MAPD |
H4204 |
028 |
0 |
| InStil Health Insurance Company |
InStil InCare MAPD |
H4204 |
029 |
0 |
| InStil Health Insurance Company |
InStil InTrust |
H4204 |
026 |
0 |
| Keystone 65 |
Keystone 65 Value Medical Only |
H3952 |
026 |
0 |
| Keystone 65 |
Keystone 65 Value Rx |
H3952 |
040 |
0 |
| Keystone Health Plan Central, Inc. |
Senior Blue Option 4 |
H3962 |
010 |
0 |
| Keystone Health Plan West, Inc. |
SecurityBlue HMO Basic |
H3957 |
033 |
0 |
| Keystone Health Plan West, Inc. |
SecurityBlue HMO Deluxe |
H3957 |
022 |
0 |
| Keystone Health Plan West, Inc. |
SecurityBlue HMO Standard |
H3957 |
016 |
0 |
| Keystone Health Plan West, Inc. |
SecurityBlue HMO Value |
H3957 |
026 |
0 |
| Lovelace Insurance Company |
Premier Choice |
H3207 |
001 |
0 |
| Lovelace Insurance Company |
Premier Choice |
H3207 |
002 |
0 |
| Lovelace Insurance Company |
Premier Choice |
H3207 |
004 |
0 |
| Lovelace Insurance Company |
Premier Choice |
H3207 |
003 |
0 |
| Martin's Point Generations Advantage |
Martin's Point Generations Advantage ValuePlus |
H5591 |
002 |
0 |
| MD MedicareChoice |
MD MedicareChoice Broward Optimum |
H5729 |
007 |
0 |
| MD MedicareChoice |
MD MedicareChoice Broward Optimum MB |
H5729 |
014 |
0 |
| MD MedicareChoice |
MD MedicareChoice Broward Optimum MB - AB |
H5729 |
032 |
0 |
| MD MedicareChoice |
MD MedicareChoice Dade Optimum |
H5729 |
004 |
0 |
| MD MedicareChoice |
MD MedicareChoice Dade Optimum MB |
H5729 |
012 |
0 |
| MD MedicareChoice |
MD MedicareChoice Dade Optimum MB - AB |
H5729 |
030 |
0 |
| MD MedicareChoice |
MD MedicareChoice Diamante |
H5729 |
010 |
0 |
| MD MedicareChoice |
MD MedicareChoice Emerald Optimum |
H5729 |
018 |
0 |
| MD MedicareChoice |
MD MedicareChoice Emerald Optimum MB |
H5729 |
020 |
0 |
| MD MedicareChoice |
MD MedicareChoice Emerald Optimum MB - AB |
H5729 |
033 |
0 |
| MD MedicareChoice |
MD MedicareChoice Florida Optimum |
H5729 |
005 |
0 |
| MD MedicareChoice |
MD MedicareChoice Florida Optimum MB |
H5729 |
013 |
0 |
| MD MedicareChoice |
MD MedicareChoice Florida Optimum MB - AB |
H5729 |
031 |
0 |
| Medica Insurance Company |
Medica Advantage Solution Non-Metro Standard |
H2409 |
003 |
0 |
| Medica Insurance Company |
Medica Advantage Solution Non-Metro Standard w/Rx |
H2409 |
006 |
0 |
| MediSun Private Fee For Service |
MediSun Care Options |
H5908 |
004 |
0 |
| MediSun Private Fee For Service |
MediSun Care Options Plus |
H5908 |
003 |
0 |
| Mennonite Mutual Aid Association |
Team Care Advantage |
H8836 |
002 |
0 |
| Mennonite Mutual Aid Association |
Team Care Advantage Rx |
H8836 |
001 |
0 |
| Mercy Health Plans |
Mercy MedicareADVANTAGE PPO |
H2611 |
003 |
0 |
| Mercy Health Plans |
Mercy MedicareADVANTAGE PPO AR no RX |
H2611 |
010 |
0 |
| Mercy Health Plans |
Mercy MedicareADVANTAGE PPO no Rx |
H2611 |
006 |
0 |
| Mercy Health Plans of Missouri, Inc. |
Mercy MedicareADVANTAGE HMO (no RX) |
H2667 |
013 |
0 |
| Metropolitan Health Plan |
MHP North Star |
H8201 |
001 |
0 |
| Molina Healthcare of Nevada |
Molina Medicare Options |
H5588 |
002 |
0 |
| Molina Medicare |
Molina Medicare Options One |
H0490 |
003 |
0 |
| Molina Medicare |
Molina Medicare Options Select |
H0490 |
002 |
0 |
| MVP GoldAnywhere |
MVP GoldAnywhere |
H9615 |
001 |
0 |
| MVP GoldAnywhere |
MVP GoldAnywhere |
H9615 |
003 |
0 |
| Neighborhood Health Providers |
Neighborhood Extended Care |
H3336 |
010 |
0 |
| Neighborhood Health Providers |
Neighborhood Medicare Platinum with Rx |
H3336 |
006 |
0 |
| Neighborhood Health Providers |
Neighborhood Medicare Plus |
H3336 |
004 |
0 |
| Neighborhood Health Providers |
Neighborhood Medicare Plus Rx |
H3336 |
001 |
0 |
| North Star Advantage / North Star Advantage Plus |
MHP North Star Advantage |
H5750 |
002 |
0 |
| North Star Advantage / North Star Advantage Plus |
MHP North Star Advantage Plus |
H5750 |
001 |
0 |
| Optimum HealthCare, Inc. |
Optimum Choice |
H5594 |
009 |
0 |
| Optimum HealthCare, Inc. |
Optimum Gold Plan |
H5594 |
005 |
0 |
| Optimum HealthCare, Inc. |
Optimum Gold Plan |
H5594 |
007 |
0 |
| Optimum HealthCare, Inc. |
Optimum Platinum Plan |
H5594 |
008 |
0 |
| Pan American Life Insurance Company of Puerto Rico |
PALIC-PR Medicare Advantage |
H3195 |
001 |
0 |
| Pan American Life Insurance Company of Puerto Rico |
PALIC-PR Medicare Advantage |
H5270 |
001 |
0 |
| Paramount Elite |
Paramount Elite Standard Medical only |
H3653 |
021 |
0 |
| Peoples Health |
HealthCare Select |
H5501 |
001 |
0 |
| PersonalCare Advantra |
PersonalCare Advantra Gold |
H7301 |
001 |
0 |
| PHYSICIANS HEALTH CHOICE |
Physicians Health Choice Basic |
H4527 |
016 |
0 |
| PHYSICIANS HEALTH CHOICE |
Physicians Health Choice Extra |
H4527 |
018 |
0 |
| PHYSICIANS HEALTH CHOICE |
Physicians Health Choice Standard |
H4527 |
017 |
0 |
| Physicians United Plan |
PUP Carefree |
H5696 |
018 |
0 |
| Preferred Care GoldAnywhere |
Preferred Care GoldAnywhere |
H3346 |
001 |
0 |
| Preferred Care Partners, Inc. |
Preferred Care Partners Healthy America |
H1045 |
014 |
0 |
| Preferred Care Partners, Inc. |
Preferred Care Partners Healthy America Plus |
H1045 |
015 |
0 |
| Preferred Care Partners, Inc. |
Preferred Care Partners Premuim Advantage |
H1045 |
011 |
0 |
| Preferred Simplex |
Simplex FFS Basic |
H8606 |
001 |
0 |
| Preferred Simplex |
Simplex FFS Premium |
H8606 |
002 |
0 |
| PrimeTime Health Plan |
PrimeTime Health Plan Essential |
H3664 |
016 |
0 |
| PrimeTime Health Plan |
PrimeTime Health Plan Plus |
H3664 |
001 |
0 |
| PrimeTime Health Plan |
PrimeTime Health Plan Prime PFFS Select |
H5485 |
001 |
0 |
| PrimeTime Health Plan |
PrimeTime Health Plan Standard |
H3664 |
011 |
0 |
| Quality Health Plans |
Advantage Premium |
H5402 |
010 |
0 |
| Quality Health Plans |
Advantage South |
H5402 |
034 |
0 |
| Regence BlueCross BlueShield of Oregon |
Regence MedAdvantage + Rx Core |
H3817 |
006 |
0 |
| Regence BlueCross BlueShield of Utah |
Regence MedAdvantage + Rx Core |
H4605 |
006 |
0 |
| Regence BlueShield |
Regence MedAdvantage + Rx Core |
H5009 |
006 |
0 |
| Regence BlueShield Of Idaho |
Regence MedAdvantage + Rx Core |
H1304 |
006 |
0 |
| Rocky Mountain Health Plans |
WINhealh Thrifty with Thrifty Drug Plan |
H0602 |
037 |
0 |
| Rocky Mountain Health Plans |
WINhealth Plus Medicare Plan |
H0602 |
014 |
0 |
| Rocky Mountain Health Plans |
WINhealth Plus with Enhanced Drug Plan |
H0602 |
024 |
0 |
| Rocky Mountain Health Plans |
WINhealth Thrifty Plan |
H0602 |
035 |
0 |
| Salud Dorada con Medicare |
SDM Medicare Colosal |
H4009 |
004 |
0 |
| Salud Dorada con Medicare |
SDM Medicare Continental |
H4009 |
011 |
0 |
| Salud Dorada con Medicare |
SDM Medicare Continental Basic |
H4009 |
012 |
0 |
| Salud Dorada con Medicare |
SDM Medicare ELA Dorado |
H4009 |
010 |
0 |
| Salud Dorada con Medicare |
SDM Medicare Vital |
H4009 |
003 |
0 |
| San Miguel Health Plan |
San Miguel Health Plan, Select |
H7146 |
001 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete |
H0543 |
126 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete |
H3379 |
007 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete |
H0543 |
072 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete |
H0543 |
049 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete |
H0543 |
093 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete |
H0543 |
091 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Balance |
H3307 |
013 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Choice |
H1509 |
008 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Choice |
H2001 |
003 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Essential |
H0151 |
019 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Essential |
H0303 |
040 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Essential |
H3307 |
019 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Essential |
H4456 |
016 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Essential |
H0543 |
114 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Essential |
H5005 |
015 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Plan 2 |
H3659 |
060 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Plan 3 |
H0543 |
128 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Plan 3 |
H4456 |
017 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Plus Plan 3 |
H4456 |
028 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Plus Plan1 |
H1080 |
011 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Plus Plan1 |
H4604 |
009 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareComplete Plus Plan2 |
H3887 |
004 |
0 |
| SecureHorizons by UnitedHealthcare |
AARP MedicareCompleteChoicePlan2 |
H1303 |
003 |
0 |
| SecureHorizons by UnitedHealthcare |
SecureHorizons MedicareComplete Choice |
H3921 |
003 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Plan 1A |
H5435 |
017 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Plan 4 |
H4720 |
002 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Plan 5 |
H5435 |
018 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Plan 6 |
H5435 |
019 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Rx Plan 51A |
H5435 |
022 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Rx Plan 52 |
H4720 |
001 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Rx Plan 53 |
H5435 |
023 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Rx Plan 54 |
H5435 |
013 |
0 |
| SecureHorizons MedicareDirect |
SecureHorizons MedicareDirect Rx Plan 56 |
H5435 |
025 |
0 |
| Select Advantage |
Select Advantage Silver Medical Only |
H0097 |
001 |
0 |
| Select Advantage |
Select Advantage Silver Rx |
H0097 |
002 |
0 |
| SelectCare of Texas, LLC |
TexanPlus Star powered by CCRx |
H4506 |
023 |
0 |
| Senior Blue |
Senior Blue 653 PartD |
H3384 |
040 |
0 |
| Senior Blue |
Senior Blue 654 Part D |
H3384 |
054 |
0 |
| Senior Whole Health of New York |
Senior Whole Health |
H5992 |
003 |
0 |
| Sierra Health and Life Insurance Company, Inc. |
Sierra Optima Choice |
H4449 |
008 |
0 |
| Sierra Health and Life Insurance Company, Inc. |
Sierra Optima Choice Plus |
H4449 |
012 |
0 |
| Spokane Community Care |
Columbia Community Care - POS |
H5416 |
010 |
0 |
| Sterling Life Insurance Company |
Sterling Option III |
H5006 |
015 |
1 |
| Sterling Life Insurance Company |
Sterling Option III |
H5006 |
015 |
2 |
| Sterling Life Insurance Company |
Sterling Option III |
H5006 |
015 |
3 |
| Summit Health Plan, Inc. |
Advantra Platinum Plan |
H5850 |
018 |
0 |
| Summit Health Plan, Inc. |
Summit Ideal One Plan |
H5850 |
013 |
0 |
| Texas HealthSpring |
TXHS HealthyAdvantage Sadler Premier |
H4513 |
021 |
0 |
| TexasFirst Health Plans |
TexanPlus Star powered by CCRx |
H5656 |
004 |
0 |
| Today's Health |
Today's Health Star powered by CCRx |
H8742 |
010 |
0 |
| Touchstone Health |
Touchstone Health Medicare Clear |
H3327 |
014 |
0 |
| Touchstone Health |
Touchstone Health Medicare Freedom |
H3327 |
003 |
0 |
| Touchstone Health |
Touchstone Health Medicare Lunar Plan 1 |
H3327 |
028 |
0 |
| Traditional Blue Medicare PFFS |
Traditional Blue Medicare PFFS |
H2648 |
002 |
0 |
| Traditional Blue Medicare PFFS |
Traditional Blue Medicare PFFS |
H2648 |
001 |
0 |
| Traditional Blue Medicare PFFS |
Traditional Blue Medicare PFFS w/Rx |
H2648 |
004 |
0 |
| Traditional Blue Medicare PFFS |
Traditional Blue Medicare PFFS w/Rx |
H2648 |
003 |
0 |
| Triple-S, INC. |
Auxilio Platino Premier |
H5732 |
002 |
0 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Basic |
H3057 |
009 |
0 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Basic Rx |
H3057 |
008 |
0 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Basic Rx Plus |
H3057 |
007 |
0 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Prime |
H3057 |
003 |
2 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Prime |
H3057 |
003 |
1 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Prime Rx |
H3057 |
002 |
2 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Prime Rx |
H3057 |
002 |
1 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Prime Rx Plus |
H3057 |
001 |
2 |
| Tufts Health Plan |
Tufts Medicare Preferred PFFS Prime Rx Plus |
H3057 |
001 |
1 |
| Tufts Health Plan |
Tufts Medicare Preferred PPO |
H2229 |
030 |
0 |
| Tufts Health Plan |
Tufts Medicare Preferred PPO Rx |
H2229 |
029 |
0 |
| Tufts Health Plan |
Tufts Medicare Preferred PPO Rx Plus |
H2229 |
028 |
0 |
| UAHC Gold |
UAHC Gold Choice |
H6934 |
002 |
0 |
| Unison Advantage |
Unison Advantage Basic |
H1364 |
008 |
0 |
| Unison Advantage |
Unison Advantage Basic |
H5189 |
004 |
0 |
| Unison Advantage |
Unison Advantage Basic |
H0245 |
004 |
0 |
| Unison Advantage |
Unison Advantage Basic |
H5998 |
004 |
0 |
| Unison Advantage |
Unison Advantage Choice |
H5998 |
001 |
0 |
| Unison Advantage |
Unison Advantage Choice |
H1364 |
006 |
0 |
| Unison Advantage |
Unison Advantage Choice |
H5189 |
001 |
0 |
| Unison Advantage |
Unison Advantage Choice |
H0245 |
001 |
0 |
| Unison Advantage |
Unison Advantage Preferred |
H1364 |
007 |
0 |
| Unison Advantage |
Unison Advantage Preferred |
H5189 |
002 |
0 |
| Unison Advantage |
Unison Advantage Preferred |
H3920 |
002 |
0 |
| Unison Advantage |
Unison Advantage Preferred |
H5998 |
002 |
0 |
| Unison Advantage |
Unison Advantage Preferred |
H0245 |
002 |
0 |
| Universal American |
Today's Options Access powered by CCRx |
H3333 |
100 |
0 |
| Universal American |
Today's Options Access powered by CCRx |
H5421 |
136 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H1317 |
003 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H2775 |
007 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H2775 |
008 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H2775 |
009 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H2869 |
003 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H3437 |
003 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H6740 |
003 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H8172 |
005 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H8172 |
006 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H9930 |
009 |
0 |
| Universal American |
Today's Options PPO Complete powered by CCRx |
H1356 |
003 |
0 |
| Universal American |
Today's Options PPO Select |
H1317 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H2775 |
002 |
0 |
| Universal American |
Today's Options PPO Select |
H5378 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H5378 |
002 |
0 |
| Universal American |
Today's Options PPO Select |
H6740 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H8172 |
002 |
0 |
| Universal American |
Today's Options PPO Select |
H2869 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H8172 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H2775 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H2914 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H2914 |
002 |
0 |
| Universal American |
Today's Options PPO Select |
H1356 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H5378 |
003 |
0 |
| Universal American |
Today's Options PPO Select |
H2775 |
003 |
0 |
| Universal American |
Today's Options PPO Select |
H9930 |
001 |
0 |
| Universal American |
Today's Options PPO Select |
H3437 |
001 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H6740 |
002 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H8172 |
004 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H1317 |
002 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H2775 |
005 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H2869 |
002 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H8172 |
003 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H2775 |
004 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H2914 |
003 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H1356 |
002 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H2914 |
004 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H5378 |
006 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H2775 |
006 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H9930 |
003 |
0 |
| Universal American |
Today's Options PPO Select powered by CCRx |
H3437 |
002 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
001 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
037 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
002 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
003 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
043 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
004 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
049 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
061 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
005 |
0 |
| Universal American |
Today's Options Premier |
H7357 |
006 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
019 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
040 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
020 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
046 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
021 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
052 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
022 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
064 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
023 |
0 |
| Universal American |
Today's Options Premier powered by CCRx |
H7357 |
024 |
0 |
| Universal American |
Today's Options Value |
H7357 |
007 |
0 |
| Universal American |
Today's Options Value |
H7357 |
008 |
0 |
| Universal American |
Today's Options Value |
H7357 |
009 |
0 |
| Universal American |
Today's Options Value |
H7357 |
038 |
0 |
| Universal American |
Today's Options Value |
H7357 |
044 |
0 |
| Universal American |
Today's Options Value |
H7357 |
010 |
0 |
| Universal American |
Today's Options Value |
H7357 |
050 |
0 |
| Universal American |
Today's Options Value |
H7357 |
062 |
0 |
| Universal American |
Today's Options Value |
H7357 |
011 |
0 |
| Universal American |
Today's Options Value |
H7357 |
012 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
025 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
026 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
027 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
041 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
047 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
028 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
053 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
065 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
029 |
0 |
| Universal American |
Today's Options Value powered by CCRx |
H7357 |
030 |
0 |
| Universal Health Care, Inc. |
Medicare Masterpiece |
H5404 |
043 |
0 |
| Universal Health Care, Inc. |
Medicare Masterpiece |
H5404 |
053 |
0 |
| Universal Health Care, Inc. |
Medicare Masterpiece |
H5404 |
094 |
0 |
| Universal Health Care, Inc. |
Medicare Masterpiece MA Only |
H5404 |
131 |
0 |
| Universal Health Care, Inc. |
Medicare Masterpiece MA Only |
H5404 |
134 |
0 |
| Universal Health Care, Inc. |
Medicare Masterpiece PPO |
H5429 |
015 |
0 |
| Valley Baptist Health Plans |
Valley Advantage Bronze |
H4521 |
005 |
0 |
| Valley Baptist Health Plans |
Valley Advantage Gold |
H4521 |
001 |
0 |
| Valley Baptist Health Plans |
Valley Advantage Silver |
H4521 |
004 |
0 |
| Vista Healthplan of South Florida, Inc. |
VISTA Platinum One Plan |
H1013 |
028 |
0 |
| WellCare |
Concert |
H1340 |
014 |
0 |
| WellCare |
Concert |
H1340 |
033 |
0 |
| WellCare |
Concert |
H4577 |
012 |
0 |
| WellCare |
Concert |
H4577 |
029 |
0 |
| WellCare |
Concert |
H6499 |
014 |
0 |
| WellCare |
Concert |
H6499 |
030 |
0 |
| WellCare |
Concert |
H1340 |
034 |
0 |
| WellCare |
Concert |
H4577 |
030 |
0 |
| WellCare |
Concert |
H6499 |
015 |
0 |
| WellCare |
Concert |
H1340 |
035 |
0 |
| WellCare |
Concert |
H4577 |
031 |
0 |
| WellCare |
Concert |
H4577 |
032 |
0 |
| WellCare |
Concert |
H1340 |
036 |
0 |
| WellCare |
Concert |
H6499 |
032 |
0 |
| WellCare |
Melody |
H1340 |
002 |
0 |
| WellCare |
Melody |
H4577 |
003 |
0 |
| WellCare |
Melody |
H6499 |
005 |
0 |
| WellCare |
Melody |
H6499 |
028 |
0 |
| WellCare |
Melody |
H4577 |
026 |
0 |
| WellCare |
Melody |
H1340 |
030 |
0 |
| WellCare |
Melody |
H4577 |
027 |
0 |
| WellCare |
Melody |
H1340 |
031 |
0 |
| WellCare |
Melody Plus |
H4577 |
044 |
0 |
| WellCare |
Melody Plus |
H4577 |
045 |
0 |
| WellCare |
Melody Plus |
H4577 |
046 |
0 |
| WellCare |
Melody Plus |
H4577 |
047 |
0 |
| WellCare |
Melody Plus |
H4577 |
048 |
0 |
| WellCare |
Melody Plus |
H4577 |
049 |
0 |
| WellCare |
'Ohana Reserve |
H2491 |
001 |
0 |
| WellCare |
'Ohana Value |
H2491 |
002 |
0 |
| WellCare |
Prelude |
H1340 |
020 |
0 |
| WellCare |
Prelude |
H4577 |
016 |
0 |
| WellCare |
Prelude |
H6499 |
017 |
0 |
| WellCare |
Quartet |
H1340 |
041 |
0 |
| WellCare |
Quartet |
H4577 |
037 |
0 |
| WellCare |
Quartet |
H6499 |
036 |
0 |
| WellCare |
Serenade |
H1340 |
037 |
0 |
| WellCare |
Serenade |
H6499 |
033 |
0 |
| WellCare |
Serenade |
H4577 |
033 |
0 |
| WellCare |
Serenade |
H4577 |
034 |
0 |
| WellCare |
Serenade |
H1340 |
038 |
0 |
| WellCare |
Serenade |
H6499 |
034 |
0 |
| WellCare |
Serenade |
H4577 |
035 |
0 |
| WellCare |
Serenade |
H1340 |
039 |
0 |
| WellCare |
Serenade |
H1340 |
040 |
0 |
| WellCare |
Serenade |
H4577 |
036 |
0 |
| WellCare |
Serenade |
H6499 |
035 |
0 |
| WellCare |
Sonata |
H1340 |
024 |
0 |
| WellCare |
Sonata |
H1340 |
025 |
0 |
| WellCare |
Sonata |
H1340 |
026 |
0 |
| WellCare |
Sonata |
H4577 |
020 |
0 |
| WellCare |
Sonata |
H4577 |
021 |
0 |
| WellCare |
Sonata |
H4577 |
022 |
0 |
| WellCare |
Sonata |
H6499 |
021 |
0 |
| WellCare |
Sonata |
H6499 |
022 |
0 |
| WellCare |
Sonata |
H6499 |
023 |
0 |
| WellCare |
Sonata |
H1340 |
027 |
0 |
| WellCare |
Sonata |
H4577 |
023 |
0 |
| WellCare |
Sonata Plus |
H4577 |
038 |
0 |
| WellCare |
Sonata Plus |
H4577 |
039 |
0 |
| WellCare |
Sonata Plus |
H4577 |
040 |
0 |
| WellCare |
Sonata Plus |
H4577 |
041 |
0 |
| WellCare |
Sonata Plus |
H4577 |
042 |
0 |
| WellCare |
Sonata Plus |
H4577 |
043 |
0 |
| WellCare |
WellCare Advance |
H0712 |
008 |
0 |
| WellCare |
WellCare Advance |
H1032 |
037 |
0 |
| WellCare |
WellCare Advance |
H1032 |
077 |
0 |
| WellCare |
WellCare Advance |
H1112 |
003 |
0 |
| WellCare |
WellCare Advance |
H1903 |
005 |
0 |
| WellCare |
WellCare Advance |
H3361 |
056 |
0 |
| WellCare |
WellCare Advance |
H3361 |
059 |
0 |
| WellCare |
WellCare Advance |
H3361 |
077 |
0 |
| WellCare |
WellCare Advance |
H3361 |
101 |
0 |
| WellCare |
WellCare Advance |
H3361 |
119 |
0 |
| WellCare |
WellCare Choice |
H0913 |
001 |
0 |
| WellCare |
WellCare Choice |
H1032 |
008 |
0 |
| WellCare |
WellCare Choice |
H1032 |
010 |
0 |
| WellCare |
WellCare Choice |
H1032 |
012 |
0 |
| WellCare |
WellCare Choice |
H1032 |
014 |
0 |
| WellCare |
WellCare Choice |
H1032 |
069 |
0 |
| WellCare |
WellCare Choice |
H1032 |
073 |
0 |
| WellCare |
WellCare Choice |
H1112 |
001 |
0 |
| WellCare |
WellCare Choice |
H1416 |
002 |
0 |
| WellCare |
WellCare Choice |
H3361 |
020 |
0 |
| WellCare |
WellCare Choice |
H3361 |
021 |
0 |
| WellCare |
WellCare Choice |
H3361 |
024 |
0 |
| WellCare |
WellCare Choice |
H3361 |
106 |
0 |
| WellCare |
WellCare Choice |
H3361 |
107 |
0 |
| WellCare |
WellCare Choice |
H3361 |
112 |
0 |
| WellCare |
WellCare Choice |
H0712 |
001 |
0 |
| WellCare |
WellCare Choice |
H3361 |
027 |
0 |
| WellCare |
WellCare Choice |
H1032 |
025 |
0 |
| WellCare |
WellCare Choice |
H1032 |
002 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
033 |
0 |
| WellCare |
WellCare Dividend |
H1264 |
008 |
0 |
| WellCare |
WellCare Dividend |
H1264 |
014 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
031 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
032 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
040 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
043 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
097 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
098 |
0 |
| WellCare |
WellCare Dividend |
H1032 |
131 |
0 |
| WellCare |
WellCare Dividend |
H0913 |
006 |
0 |
| WellCare |
WellCare Dividend |
H3361 |
039 |
0 |
| WellCare |
WellCare Dividend |
H3361 |
124 |
0 |
| WellCare |
WellCare Dividend Plus |
H3361 |
120 |
0 |
| WellCare |
WellCare Essential |
H1032 |
091 |
0 |
| WellCare |
WellCare Olympic |
H3361 |
125 |
0 |
| WellCare |
WellCare Passport |
H3361 |
051 |
0 |
| WellCare |
WellCare PPO |
H0967 |
001 |
0 |
| WellCare |
WellCare Premium |
H1032 |
168 |
0 |
| WellCare |
WellCare Premium |
H0712 |
018 |
0 |
| WellCare |
WellCare Prescription Plus |
H1032 |
164 |
0 |
| WellCare |
WellCare Reserve |
H1112 |
030 |
0 |
| WellCare |
Wellcare Reserve |
H1264 |
016 |
0 |
| WellCare |
Wellcare Reserve |
H1903 |
023 |
0 |
| WellCare |
WellCare Rx |
H1416 |
019 |
0 |
| WellCare |
WellCare Rx |
H1416 |
020 |
0 |
| WellCare |
WellCare Rx |
H1657 |
008 |
0 |
| WellCare |
WellCare Rx |
H1416 |
021 |
0 |
| WellCare |
WellCare Rx |
H1657 |
009 |
0 |
| WellCare |
WellCare Value |
H0117 |
004 |
0 |
| WellCare |
WellCare Value |
H0117 |
005 |
0 |
| WellCare |
WellCare Value |
H0913 |
002 |
0 |
| WellCare |
WellCare Value |
H1032 |
019 |
0 |
| WellCare |
WellCare Value |
H1032 |
028 |
0 |
| WellCare |
WellCare Value |
H1032 |
035 |
0 |
| WellCare |
WellCare Value |
H1032 |
132 |
0 |
| WellCare |
WellCare Value |
H1032 |
133 |
0 |
| WellCare |
WellCare Value |
H1032 |
144 |
0 |
| WellCare |
WellCare Value |
H1032 |
146 |
0 |
| WellCare |
WellCare Value |
H1112 |
027 |
0 |
| WellCare |
WellCare Value |
H1216 |
001 |
0 |
| WellCare |
WellCare Value |
H1264 |
004 |
0 |
| WellCare |
WellCare Value |
H1264 |
005 |
0 |
| WellCare |
WellCare Value |
H1264 |
013 |
0 |
| WellCare |
WellCare Value |
H1416 |
009 |
0 |
| WellCare |
WellCare Value |
H1416 |
014 |
0 |
| WellCare |
WellCare Value |
H1416 |
018 |
0 |
| WellCare |
WellCare Value |
H1657 |
003 |
0 |
| WellCare |
WellCare Value |
H1903 |
018 |
0 |
| WellCare |
WellCare Value |
H1903 |
022 |
0 |
| WellCare |
WellCare Value |
H3361 |
099 |
0 |
| WellCare |
WellCare Value |
H3361 |
104 |
0 |
| WellCare |
WellCare Value |
H1032 |
044 |
0 |
| WellCare |
WellCare Value |
H1032 |
079 |
0 |
| WellCare |
WellCare Value |
H1032 |
113 |
0 |
| WellCare |
WellCare Value |
H1032 |
145 |
0 |
| WellCare |
WellCare Value |
H1657 |
002 |
0 |
| WellCare |
WellCare Value |
H3361 |
102 |
0 |
| WellCare |
WellCare Value |
H3361 |
113 |
0 |
| WellCare |
WellCare Value |
H3361 |
115 |
0 |
| WellCare |
WellCare Value Plus |
H1032 |
166 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Emerald Plan |
H5698 |
059 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Emerald Plan |
H5698 |
060 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Emerald Plan |
H5698 |
064 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Diamond Plan |
H5698 |
070 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Diamond Plan |
H5698 |
065 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Diamond Plan |
H5698 |
066 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Diamond POS Plan |
H5698 |
112 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Diamond POS Plan |
H5698 |
114 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Gold Plan |
H5698 |
005 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Gold Plan |
H5698 |
056 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Gold Plan |
H5698 |
002 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Gold POS Plan |
H5698 |
111 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Gold POS Plan |
H5698 |
113 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Platinum Plan |
H5698 |
037 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Platinum Plan |
H5698 |
029 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Platinum Plan |
H5698 |
057 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Platinum Plan |
H5698 |
018 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Platinum Plan |
H5698 |
017 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Platinum Plan |
H5698 |
021 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Silver Plan |
H5698 |
006 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Silver Plan |
H5698 |
007 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Silver Plan |
H5698 |
019 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Silver Plan |
H5698 |
027 |
0 |
| Windsor Medicare Extra |
Windsor Medicare Extra Silver Plan |
H5698 |
055 |
0 |